Evaluation of the Renal System in Patients with Haematuria Using Ultrasonography

Abstract

Haematuria is a common symptom (macroscopic) or sign (microscopic) which forms a considerable burden within primary and secondary (urological) care. The risk of this being a manifestation of significant underlying disease varies according to the age, gender and laboratory investigations. The aim of this study is evaluation the urinary system in patients with haematuria using ultrasonograph. The sample size 30 cases (presented with haematuria ),6 female and 24 male were include the patients in Military hospital in ultrasound department,20-75 years old. Ultrasound machine used curvilinear transducer with high frequenct(5 MHz), kidneys length, width were calculated in longitudinal scan. The kidney length was measured from the end of upper pole to the end of lower pole and the width from superior border to inferior border. The UB wall thickness was calculated in cross section scan in the posterior wall. The unit of measurements used was metric all was done ideal protocol (Berwin). Lab investigations include RBCs (Red Blood Cell counts) and pus cell collected from the patients requested by abdominal ultrasound. The result shows the stone is most type of pathology to cause haematuria frequency was (46.7%), the high gender distribution was in male frequency was (80%) and the result of this study found that the LT kidney is most site of pathology causes haematuria. The cystitis recorded as one of a common disease that appears in our study resulting from increased in pus cell and causing haematuria. The result found increasing in the RBCs count in urine by lab investigation increasing the possibility of causing renal stones so this study recommended using the lab investigations as a complementary for the ultrasonography to evaluate the haematuria