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Who should have intravenous pyelograms before hysterectomy for benign disease?

Publication ,  Journal Article
Piscitelli, JT; Simel, DL; Addison, WA
Published in: Obstet Gynecol
April 1987

A review of 493 cases was undertaken to identify which patients undergoing hysterectomy for benign disease had received a preoperative intravenous pyelogram (IVP), an abnormality identified by IVP, and intraoperative ureteral injuries. Intravenous pyelograms were performed on 299 patients (60.6%). Factors significantly associated with obtaining a preoperative IVP included an abdominal approach, uterine size of 12 weeks or greater, and uterine prolapse. Seventy-seven patients (27%) had an abnormal IVP; factors likely to be associated with abnormality included uterine size of 12 weeks or larger or an adnexal mass of 4 cm or larger. Endometriosis, pelvic inflammatory disease, pelvic relaxation, and previous intra-abdominal surgery were not associated with an increased prevalence of abnormal IVP findings. Two ureteral injuries were documented, one in the IVP group (0.3%) and one in the non-IVP group (0.5%). Clinical findings may be used to select for a preoperative IVP those patients who are likely to have abnormalities of importance to the pelvic surgeon.

Duke Scholars

Published In

Obstet Gynecol

ISSN

0029-7844

Publication Date

April 1987

Volume

69

Issue

4

Start / End Page

541 / 545

Location

United States

Related Subject Headings

  • Uterine Diseases
  • Urography
  • Urogenital Abnormalities
  • Ureter
  • Risk
  • Preoperative Care
  • Obstetrics & Reproductive Medicine
  • Middle Aged
  • Intraoperative Complications
  • Hysterectomy
 

Citation

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Piscitelli, J. T., Simel, D. L., & Addison, W. A. (1987). Who should have intravenous pyelograms before hysterectomy for benign disease? Obstet Gynecol, 69(4), 541–545.
Piscitelli, J. T., D. L. Simel, and W. A. Addison. “Who should have intravenous pyelograms before hysterectomy for benign disease?Obstet Gynecol 69, no. 4 (April 1987): 541–45.
Piscitelli JT, Simel DL, Addison WA. Who should have intravenous pyelograms before hysterectomy for benign disease? Obstet Gynecol. 1987 Apr;69(4):541–5.
Piscitelli, J. T., et al. “Who should have intravenous pyelograms before hysterectomy for benign disease?Obstet Gynecol, vol. 69, no. 4, Apr. 1987, pp. 541–45.
Piscitelli JT, Simel DL, Addison WA. Who should have intravenous pyelograms before hysterectomy for benign disease? Obstet Gynecol. 1987 Apr;69(4):541–545.
Journal cover image

Published In

Obstet Gynecol

ISSN

0029-7844

Publication Date

April 1987

Volume

69

Issue

4

Start / End Page

541 / 545

Location

United States

Related Subject Headings

  • Uterine Diseases
  • Urography
  • Urogenital Abnormalities
  • Ureter
  • Risk
  • Preoperative Care
  • Obstetrics & Reproductive Medicine
  • Middle Aged
  • Intraoperative Complications
  • Hysterectomy