Diagnostic Value of Ureteric Jet Frequency Examination using Color Doppler Ultrasonography to Predict Success of Retrograde DJ Stent Insertion in Uterine Cervicis Carcinoma patients with Hydronephrosis

##plugins.themes.bootstrap3.article.main##

##plugins.themes.bootstrap3.article.sidebar##

PDF
Published 2015-04-01
sriyono sriyono Adi Santoso Tarmono Djojodimedjo Moh Ayodhia Soebadi Widodo J Pudjirahardjo

Abstract

AbstractObjective:  To prove that ureteric jet examination using Color Doppler Ultrasonography (CDU) can be used as a diagnostic tool to predict success of retrograde Double J Stent insertion in uterine cervicis carcinoma patients with hydronephrosis.Materials and Methods: This observational analytic study took 32 samples since May until October 2013. Before, the ureteric jet were counted for 5 minutes using CDU, then continued on the same day with cystoscopy and retrograde DJ Stent insertion. The analysis was using Chi-Square and also Coefficient Contingency test.Results: In both Chi-Square and Coefficient Contingency test, it is proven a significant correlation between success of retrograde DJ Stent insertion and Blood Urea Nitrogen (BUN), creatinine value, grade of hydronephrosis and also ureteric jet examination using CDU, with probability value (p < 0,005). The normal of BUN, creatinine level and the lower grading of hydronephrosis, the more likely successful DJ Stent insertion. Successfulness of DJ Stent insertion is also greater in a positive ureteric jet samples on examination using CDU, with sensitivity value 90,9% and specificity 89,5%, positive predictor value 83,3%, negative predictor value 95% and accuracy value 0,9.Conclusion: Ureteric jet frequency examination using CDU can be used as a success predictor of retrograde DJ Stent insertion in hydronephrosis uterine cervicis carcinoma patients with sensitivity value 90,9% and specificity 89,5%.Keywords: Ureteric jet, Color Doppler Ultrasonography, Double J Stent, Uterine Cervicis Carcinoma


##plugins.themes.bootstrap3.article.details##

References

Aziz MF. Gynecological cancer in Indonesia. J Gynecol Oncol 2009;20(1):8-10.

Pecorelli S. Revised FIGO staging for carcinoma of the vulva, cervix, and endometrium. Int J Gynaecol Obstet. 2009; 105:103–104.

Suarsana IW, Soebadi DM. Profil penderita Malignant Ureteral Obstruction akibat kanker servik uteri yang dirawat di Rumah Sakit Umum Daerah dr.Soetomo Surabaya tahun 2007 sampai tahun 2009, 2012:18-19.

Ganatra AM, Loughlin KR. The management of malignant ureteral obstruction treated with ureteral stents. J Urol 2005;174:2125-2128.

Jeong TY, Park HY and Lee TY. Effective Predicting Success Factors of Retrograde Ureteral Stenting in Patients with Malignant Ureteral Obstruction. Korean J Urol.1999; 40:1693-1698.

Wu CC. Ureteric Jet. Review article. J Med Ultrasound. 2010; 18, 141-146.

Jonathan L. Richenberg. Ultrasound of the bladder. Clin Ultrasound, 3rd Ed. 2011; 29:550-571.

Wu HH, Yang PY, Yeh GP et al. The detection of ureteral injuries after hysterectomy. J Minim Invasive Gynecol. 2006; 13(5): 403–408.

Leung VY, Metreweli C. Doppler waveform of the ureteric jet in pregnancy. Ultrasound Med Biol 2002; 28:879 – 884.

Bessa J, Denes F, Chammas C et al. The diagnostic value of relative ureteral jet frequency as a predictor of obstruction in a hydronephrotic kidney. J pediatr Urol. 2008; 4:113-117.

Tal Z, Jaffe H, Rosenak D et al. Ureteric jet examination by color Doppler ultrasound versus IVP or the assessment of ureteric patency following pelvic surgery. Eur J Obsgyn and Reprod Biol. 1994; 54:119-122.

Section
Articles
Copyright Information
Department of Urology, Faculty of Medicine/Airlangga University