Dr Mehreen Nawab, Dr Ayesha Ihsan, Dr Ayesha Usman
Hematuria can signify serious disease such as bladder cancer, upper urinary tract urothelial cell carcinoma (UUT-UCC), renal cell cancer or urinary tract stones. The main objective of the study is to evaluate the role of CT urography in case of haematuria. This descriptive study was conducted in Rawalpindi Medical University during August 2019 to March 2020. Fifty patients with complaint of haematuria referred from various wards and outpatient departments of this institution were included in our study. A complete patient history regarding the chief complaints was taken and a thorough clinical examination was carried out after taking a written informed consent. Hematuria has a wide range of causes including urinary tract infections, calculi, trauma, renal parenchymal disease, metastatic disease, and urothelial and renal neoplasia. The most common primary malignancies associated with hematuria are renal cell carcinoma (RCC); transitional cell carcinoma (TCC); prostate cancer; and, less commonly, squamous cell carcinoma. RCC is the most common malignant neoplasm of the kidney, representing up to 90% of renal neoplasms and up to 3% of all neoplasms. It is concluded that in imaging patients with hematuria, radiography has no role in the detection of renal or ureteric neoplasms and its choice for the detection of urinary calculi is now questionable with the advent of low-dose MDCT.