Utility of trans-vaginal ultrasound in diagnosis and follow-up of non-pregnant sexually active females with lower ureteric calculi

doi:10.1016/j.ajur.2018.12.007

Asian Journal of Urology, 2020, 7 (1): 45-50 doi: 10.1016/j.ajur.2018.12.007

Original Articles

Utility of trans-vaginal ultrasound in diagnosis and follow-up of non-pregnant sexually active females with lower ureteric calculi

Siddharth Pandey^a,*(

),Tanica Pandey^b,Apul Goel^a,Ajay Aggarwal^a,Deepanshu Sharma^a,Tushar Pandey^c,Satya sankhwar^a,Gaurav Garg^a

^a Department of Urology, King George's Medical University, Lucknow, India
^b Department of Radiology, Raghav Pathlabs and Imaging, Haldwani, India
^c Department of Pathology, Post Graduate Institute of Medical Education and Research, Chandigarh, India

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Abstract

Objective: To assess the utility of trans-vaginal ultrasonography in evaluation of non-pregnant sexually active female patients with lower ureteric calculi. Methods: A prospective study was done from January 2015 to December 2017 including non-pregnant sexually active females with suspected ureteric calculus. Trans-abdominal ultrasound was initially done in all patients. In those patients in whom trans-abdominal ultrasound was inconclusive or there was indirect evidence of lower ureteric calculus in form of ureteral dilation but no calculus was evident, trans-vaginal ultrasound was done. The patients with ureteric calculi detected on trans-vaginal ultrasound and kept on conservative management were also followed up with trans-vaginal ultrasound. Non-contrast computed tomography was done in patients with inconclusive trans-vaginal ultrasound. Results: As per the study protocol, 156 out of the total 468 patients evaluated by trans-abdominal ultrasound were eligible for trans-vaginal ultrasound. Trans-vaginal ultrasound was done in 149 patients, as seven patients did not give consent. Seventy-nine patients were detected with a lower ureteric calculus on trans-vaginal ultrasound and 27 patients had gynecologic or other cause for their symptoms. Forty-three patients had an inconclusive trans-vaginal ultrasound of which 36 underwent non-contrast computed tomography, among them only one patient had a lower ureteric calculus. Stone free status could be easily demonstrated on follow-up trans-vaginal ultrasound. Conclusion: Trans-vaginal ultrasound in addition to trans-abdominal ultrasound is a very useful tool in evaluation of sexually active females with suspected lower ureteric calculus.

Key words： Trans-abdominal ultrasound Trans-vaginal ultrasound Lower ureteric calculus Ureteric colic Ureter

Received: 10 July 2018 Available online: 02 January 2019

Corresponding Authors: Siddharth Pandey E-mail: sid1420@gmail.com

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	Siddharth Pandey
	Tanica Pandey
	Apul Goel
	Ajay Aggarwal
	Deepanshu Sharma
	Tushar Pandey
	Satya sankhwar
	Gaurav Garg

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Cite this article:

Siddharth Pandey,Tanica Pandey,Apul Goel, et al. Utility of trans-vaginal ultrasound in diagnosis and follow-up of non-pregnant sexually active females with lower ureteric calculi[J]. Asian Journal of Urology, 2020, 7(1): 45-50.

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http://www.ajurology.com/EN/10.1016/j.ajur.2018.12.007 OR http://www.ajurology.com/EN/Y2020/V7/I1/45

Characteristics of patients in the study.

Flowchart of the patients included in the study. TAS, trans-abdominal ultrasonography; TVS, trans-vaginal ultrasound; NCCT, non-contrast computed tomography.

The red arrows point the calculi and blue arrows point dilated ureter. (A) A calculus near the UVJ and dilated ureter proximal to it; (B, C) Another calculus distal to dilated ureter; (D, E) Dilated ureter near the iliac vessels with a calculus causing obstruction; (F) Two calculi in a dilated ureter. UVJ, uretero-vesical junction.

Management and follow-up of patients diagnosed with ureteric calculus after TVS.

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