Intravenous urography findings among patients with uterine fibroid - is intravenous urography a necessity?

Abstract

Background: Uterine fibroid is a common tumor seen in Nigerian women and conventional intravenous urography (IVU) is used in evaluating urinary system before surgical intervention. Aim: This study is aimed at evaluating the usefulness of IVU in the uterine fibroid or is to know if IVU is necessary in patients with uterine fibroid. Study design and settings: A retrospective, observational study was conducted in the Radiology Department of Rivers State University Teaching Hospital (RSUTH). From 1st May 2021 to 31st May 2023. Data analysis: Data were analyzed using SPSS 21.0 version. The level of statistical significance was set at p<0.05. Results: A total of 100 data were analyzed. The age of the study group was ≤35 years and ≥ 35 years. This study shows that urinary bladder indentation is the commonest finding (78%) due to pressure effect from the uterine fibroids. The second commonest finding was hydronephrosis(n=52). Grade 2 is the commonest(n=22) while grade 4(n=1) is the least. Conclusion: This study shows that urinary bladder indentation is the commonest finding due to pressure effect from the uterine fibroids. The second commonest finding was hydronephrosis. Grade 2 is the commonest while grade 4 is the least. This showed that IVU is necessary in the preoperative evaluation of patients with uterine fibroids.