Diagnostic utility of microhematuria in renal colic patients in emergency medicine: correlation with findings from multidetector computed tomography

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dc.contributor.authorDaş, Murat
dc.contributor.authorBardakçı, Okan
dc.contributor.authorYurtseven, Ersan
dc.contributor.authorAkman, Canan
dc.contributor.authorBeyazit, Yavuz
dc.contributor.authorAkdur, Okhan
dc.date.accessioned2025-01-27T19:38:30Z
dc.date.available2025-01-27T19:38:30Z
dc.date.issued2019
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractAlthough urine analysis is a simple and inexpensive method for the initial evaluation of renal colic patients presenting in emergency departments, it is regarded as unreliable for an exact diagnosis of urinary system stones. The aim of the present study is to assess the association between clinical demographics, and stone size and location, with the combined utility of urinalysis and unenhanced multidetector computed tomography (MDCT) in the emergency department. After gaining local Ethics Committee approval, a retrospective study was conducted with data from 186 patients who presented at our emergency service with flank pain and documented urolithiasis. Stone location and size was determined by MDCT, and the presence of microhematuria confirmed by urinalysis. The presence of hydronephrosis and clinical complaints were also recorded. A total of 186 patients were included in the present study, in which an absence of microhematuria was recorded in 24.7% patients. Urine density was found to be elevated in the microhematuria group (p=0.001). Upper urinary tract stones and hydronephrosis were found to be associated with the presence of microhematuria. Although statistically insignificant, an increased trend of microhematuria was observed with stones over 5 mm in size. Urinary stone size and location are directly associated with the incidence of microhematuria. Absence of microhematuria does not preclude MDCT imaging, however, especially in cases where stones are suspected in patients with renal colic.
dc.identifier.doi10.5455/medscience.2018.07.8974
dc.identifier.endpage411
dc.identifier.issn2147-0634
dc.identifier.issue2
dc.identifier.startpage407
dc.identifier.trdizinid371817
dc.identifier.urihttps://doi.org/10.5455/medscience.2018.07.8974
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/371817
dc.identifier.urihttps://hdl.handle.net/20.500.12428/17224
dc.identifier.volume8
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.relation.ispartofMedicine Science
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_TRD_20250125
dc.subjectGenel ve Dahili Tıp
dc.subjectPatoloji
dc.subjectÜroloji ve Nefroloji
dc.subjectRadyoloji
dc.subjectNükleer Tıp
dc.subjectTıbbi Görüntüleme
dc.titleDiagnostic utility of microhematuria in renal colic patients in emergency medicine: correlation with findings from multidetector computed tomography
dc.typeArticle

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