DOI: 10.36347/sjams.2017.v05i09.051

Pages: 3760-3773

Hematuria defined as the presence of blood in urine is one of the most common manifestations of urinary tract disease and can be painless or painful. Malignancies are the most common cause of painless hematuria. The aim of the present study is to evaluate the role of MDCT in patients with painless hematuria and to study the MDCT features of various common etiologies causing it. This prospective observational study included a total of 31 patients who presented with painless hematuria referred for CT urography. CT urography was done in all the patients on 128 slice Philips Multi-detector CT (MDCT). CECT imaging findings were interpreted independently and tabulated and subsequently correlated with pathological findings in all but one patient. Most of the patients were in the 51-60 years age group i.e. 15(48.38%)with twice male predominance (2:1).Most common cause of painless hematuria in our study was bladder TCC seen in 17(54.86%) cases followed by renal masses i.e, 11(35.48%) cases , two cases of benign prostatic hyperplasia and 1 case of complicated renal cyst. MDCT was 100% sensitive in our study in detecting bladder neoplasm and its extension and was 92% sensitive in characterizing renal neoplastic masses. MDCTU in the patients with painless hematuria can be considered as the first line imaging modality for detection of neoplastic masses with high sensitivity and specificity. It additionally also provides detailed information regarding local infiltration of the tumor, lymphadenopathy and metastasis and thus has invaluable role in staging.