Is Ultrasound the Urologist’s Stethoscope in the Outpatient Clinic?  

作　　者：Walid Alame Cynthia Alame Serge Ibrahim Walid Alame;Cynthia Alame;Serge Ibrahim(Division of Urology, Sahel General Hospital-FAUMC, Beirut, Lebanon;Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon;Faculty of Medicine, Lebanese University, Beirut, Lebanon)

机构地区：[1]Division of Urology, Sahel General Hospital-FAUMC, Beirut, Lebanon [2]Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon [3]Faculty of Medicine, Lebanese University, Beirut, Lebanon

出　　处：《Open Journal of Urology》2023年第5期151-160,共10页泌尿学期刊（英文）

摘　　要：Ultrasound is a non-invasive diagnostic imaging modality that has become the urologist’s stethoscope in the outpatient clinic for diagnosis and monitoring of various urological pathologies. Objectives: Check if office ultrasound is beneficial in the outpatient clinic, helpful in the management, affected by the economic crisis, and determine in which condition it is sufficient. Materials and Methods: Between 2012 and 2022, one thousand files were prospectively collected randomly. Many objectives were chosen to evaluate the impact of the economic crisis on the use of ultrasound, identify the clinical conditions where ultrasound is beneficial, determine the conditions where ultrasound was sufficient, and determine if ultrasound findings were helpful for management. Results: The economic crisis did not impact the use of ultrasound, when the chief complaint was flank pain, 56.7% had positive findings. In 54%, ultrasound was helpful to avoid the need for further imaging, and in 93.5%, ultrasound was helpful in the management of patients. When the chief complaint was LUTS, 25.6% had positive findings while 82.9% did not require further imaging, in 78.6%, ultrasound was helpful in the management. In the case of hematuria, 60.7% had positive findings, 20% did not need further imaging, and 81% of ultrasounds were helpful in the management. When patients present with urgency 31% had positive findings, 93.7% did not require more imaging and 76% of ultrasounds were helpful in management. In the case of dysuria as the chief complaint, 35.8% had positive findings, 77.7% did not need more imaging, and helpful in the management of 62.8%. Conclusion: Ultrasound is a valuable cost-effective tool in the outpatient clinic urology clinic for diagnosing and monitoring. It is safe, painless, and can be repeated easily which makes it the precious Urologist’s stethoscope.Ultrasound is a non-invasive diagnostic imaging modality that has become the urologist’s stethoscope in the outpatient clinic for diagnosis and monitoring of various urological pathologies. Objectives: Check if office ultrasound is beneficial in the outpatient clinic, helpful in the management, affected by the economic crisis, and determine in which condition it is sufficient. Materials and Methods: Between 2012 and 2022, one thousand files were prospectively collected randomly. Many objectives were chosen to evaluate the impact of the economic crisis on the use of ultrasound, identify the clinical conditions where ultrasound is beneficial, determine the conditions where ultrasound was sufficient, and determine if ultrasound findings were helpful for management. Results: The economic crisis did not impact the use of ultrasound, when the chief complaint was flank pain, 56.7% had positive findings. In 54%, ultrasound was helpful to avoid the need for further imaging, and in 93.5%, ultrasound was helpful in the management of patients. When the chief complaint was LUTS, 25.6% had positive findings while 82.9% did not require further imaging, in 78.6%, ultrasound was helpful in the management. In the case of hematuria, 60.7% had positive findings, 20% did not need further imaging, and 81% of ultrasounds were helpful in the management. When patients present with urgency 31% had positive findings, 93.7% did not require more imaging and 76% of ultrasounds were helpful in management. In the case of dysuria as the chief complaint, 35.8% had positive findings, 77.7% did not need more imaging, and helpful in the management of 62.8%. Conclusion: Ultrasound is a valuable cost-effective tool in the outpatient clinic urology clinic for diagnosing and monitoring. It is safe, painless, and can be repeated easily which makes it the precious Urologist’s stethoscope.

关 键 词：Office Ultrasound HEMATURIA LUTS DYSURIA URGENCY 

分 类 号：R69[医药卫生—泌尿科学]