DOI: 10.36347/sasjm.2016.v02i04.003

Pages: Page: 92-94

We aimed to determine the types and frequency of incidental urological problems that could be encountered in the patients on the hemodialysis program for end stage renal disease. We retrospectively analyzed the hospital records of patients who had been undergoing hemodialysis program regularly within last 4 years. Their demographics, co-morbid diseases, schedules of dialysis program, previous reports of radiological imaging studies and total PSA values of male patients were noted down and analyzed. A total of 157 patients were undergoing dialysis program. 124 of these (79%) were previously had radiological imaging studies like abdominal ultrasonography and/or abdominal computed tomography performed for symptoms related to urology or other clinics. Their mean age was 62.9±14.0 years. 57% were male and the rest were female. Most of them (89%) had some sort of co-morbid diseases other than chronic renal failure. The most common (69%) urological incidental finding was simple renal cysts, most of which were multiple (74%). Mean largest renal cyst diameter was 27.6±18.0 mm. Urinary stone disease was present in 13% and only 2% had any degree of hydronephrosis. Mean largest stone diameter was 7.4±3.0 mm. Of the males 46% had been screened for PSA and of these ones screened for PSA, only three percent (one patient) had been defined as suspicious for prostate cancer and prostate biopsy had been suggested. Mean PSA levels had been measured as 1,50 ±2,04 ng/ml and mean prostate weight were determined as 45,36 ± 21,19 grams. One patient was diagnosed as RCC and one another as bladder cancer. Incidental urological diseases seem to be more prevalent that anticipated but mainly to be benign and diagnostic work up demanding on symptoms rather than routine work up seems to be more feasible in this group of patients or at least ultrasonography seems to be feasible alone for diagnostic work up