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Infektionskrankheiten und Verletzungen der Harnblase und der ableitenden Harnwege

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Weiterbildung Radiologie

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Zusammenfassung

Beim Harnwegsinfekt handelt es sich um die häufigste Infektionskrankheit in Deutschland. Seine Abklärung erfordert in der Regel keine über die Sonographie hinausgehende Bildgebung, die Diagnose wird maßgeblich über die Klinik gestellt. Computertomographie (CT) und Magnetresonanztomographie (MRT) dienen in ausgewählten Fällen (z. B. rezidivierende oder atypische und komplizierte Verläufe) der Ursachenabklärung und dem Nachweis oder Ausschluss von Komplikationen. In der Abklärung einer Urolithiasis steht die CT als bildgebende Methode der Wahl an erster Stelle. Mit Niedrigdosistechniken lässt sich mit sehr hoher Sensitivität und Spezifität ein Steinnachweis- oder -ausschluss bei vertretbarerer Strahlenbelastung erbringen. Die native Stein-CT gibt zudem grundlegende Informationen, die die weitere Therapieplanung maßgeblich beeinflussen. Die Diagnose von Ureterverletzungen ist klinisch und radiologisch nicht trivial. Hier helfen urographische Kontrastmittelphasen in der Abklärung. In der Diagnostik von traumatischen Harnblasenverletzungen nimmt die (CT-)Zystographie einen hohen Stellenwert ein.

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Literatur

  1. Kirkali Z, ChanT, Manoharan M et al (2005) Bladder cancer: epidemiolo- gy, staging and grading, and diagno- sis. Urology 66(6 Suppl 1 ):4–34

    Article  PubMed  Google Scholar 

  2. Wong-You-Cheong JJ, Woodward PJ, Manning MA, Sesterhenn IA (2006) From the Archives of the AFIP: neo- plasms of the urinary bladder: radio- logic-pathologic correlation. Radio- graphics 26:553–580

    Google Scholar 

  3. Aoyagi J, Odaka J, Kuroiwa Y et al (2011) Utility of non-enhanced magnetic resonance imaging to detect acute pyelonephritis. Pediatr Int 56:e4–e6

    Google Scholar 

  4. Faletti R, Cassinis MC, Fonio P et al (2013) Diffusion-weighted imaging and apparent diffusion coefficient values versus contrast-enhanced MR imaging in the identification and characterisation of acute pyelonephritis. Eur Radiol 23:3501–3508

    Article  PubMed  Google Scholar 

  5. GBE (2014) Gesundheitsberichterstattung des Bundes. http://www.gbe-bund.de

  6. TürkC, KnollT, Petrik A et al (2014) Guidelines on urolithiasis. European Association of Urology. http://www.uroweb.org/gls/pdf/22%20Urolithiasis_LR.pdf

  7. Ray AA, Ghiculete D, Pace KT, Honey RJ (2010) Limitationsto ultrasound in the detection and measure- ment of urinary tract calculi. Urology 76:295–300

    Article  PubMed  Google Scholar 

  8. Sourtzis S, Thibeau JF, Damry N et al (1999) Radiologie investigation of renal colic: unenhanced helical CT compared with exeretory urography. AJR Am J Roentgenol 172:1491–1494

    Article  CAS  PubMed  Google Scholar 

  9. Miller OF, Rineer SK, Reichard SR et al (1998) Prospective comparison of unenhanced spiral computed tomo- graphy and intravenous urogram in the evaluation of acute flank pain. Urology 52:982–987

    Article  CAS  PubMed  Google Scholar 

  10. YilmazS, SindelT, Arslan G et al (1998) Renal colic: comparison of spiral CT, US and IVU in the detection of ureteral calculi. Eur Radiol 8:212–217

    Article  Google Scholar 

  11. Niall O, Russell J, MacGregor R et al (1999) A comparison of noncontrast computerized tomography with exeretory urography in the assessment of acute flank pain. J Ural 161:534–537

    Article  CAS  Google Scholar 

  12. Wang JH, Shen SEI, Fluang SS, Chang CY (2008) Prospective comparison of unenhanced spiral computed tomography and intravenous urography in the evaluation of acute renal colic. J Chin Med Assoc 71:30–36

    Article  PubMed  Google Scholar 

  13. Shine S (2008) Urinary calculus: IVU vs. CT renal stone? A critically apprai- sed topic. Abdom Imaging 33:41 –43

    Article  PubMed  Google Scholar 

  14. Poletti PA, Platon A, Rutschmann OT et al (2007) Low-dose versus standard-dose CT protocol in patients with clinically suspected renal colic. AJR Am J Roentgenol 188:927–933

    Article  PubMed  Google Scholar 

  15. NiemannT, KollmannT, BongartzG (2008) Diagnostic performance of low-dose CT forthe detection of uro- lithiasis: a meta-analysis. AJR Am J Roentgenol 191:396–401

    Article  Google Scholar 

  16. Kluner C, Hein PA, Gralla 0 et al (2006) Does ultra-low-dose CT with a radiation dose equivalent to that of KUB suffice to detect renal and ure- teral calculi? J Comput AssistTomogr 30:44–50

    Google Scholar 

  17. Caoili EM, Cohan RH, Korobkin M et al (2002) Urinarytractabnormalities: initial experience with multi-detec- tor row CT urography. Radiology 222:353–360

    Article  PubMed  Google Scholar 

  18. Van Der Molen AJ, Cowan NC, Mueller-Lisse UG et al (2008) CT urography: definition, indications and tech- niques. A guideline for clinical practi- ce. Eur Radiol 18:4–17

    Article  Google Scholar 

  19. Thomson JM, Glocer J, Abbott C et al (2001) Computed tomography versus intravenous urography in dia- gnosisof acute flank painfrom uro- lithiasis: a randomized study compa- ring imaging costs and radiation dose. Australas Radiol 45:291–297

    Article  CAS  PubMed  Google Scholar 

  20. HansmannJ, Schoenberg GM, BrixG etal (2013) CT of urolithiasis: compa- rison of image quality and diagnostic confidence using filtered back projec- tion and iterative reconstruction tech- niques. Acad Radiol 20:1162–1167

    Google Scholar 

  21. RemerEM, Herts BR, PrimakAetal (2014) Detection of urolithiasis: com- parison of 100% tube exposure images reconstructed with filtered back projection and 50% tube exposure images reconstructed with sinog- ram-affirmed iterative reconstruction. Radiology 272:749–756

    Google Scholar 

  22. Saw KC, McAteer JA, Monga AG et al (2000) Helical CT of urinary calculi: effect of stone composition, stone size, and scan collimation. AJR Am J Roentgenol 175:329–332

    Article  CAS  PubMed  Google Scholar 

  23. MoursyE, Gamal WM, Abuzeid A (2010) Tamsulosin as an expulsive therapy for steinstrasse after extra- corporeal shock wave lithotripsy: a randomized controlled study. Scand J Ural Nephrol 44:315–319

    Google Scholar 

  24. Graser A, Johnson TR, Bader M et al (2008) Dual energyCT characteriza- tion of urinary calculi: initial in vitro and clinical experience. Invest Radiol 43:112–119

    Article  PubMed  Google Scholar 

  25. Stolzmann P, Leschka S, Scheffel H et al (2010) Characterization of urinary stones with dual-energy CT: impro- ved differentiation using a tin filter. Invest Radiol 45:1–6

    Article  PubMed  Google Scholar 

  26. Acharya S, Goyal A, Bhalla AS et al (2014) In vivo characterization of urinary calculi on dual-energy CT: go- ing a Step ahead with sub-differen- tiation of calcium stones. Acta Radiol [Epub ahead of print]

    Google Scholar 

  27. Patel SJ, Reede DL, Katz DS et al (2006) Imaging the pregnant patient for nonobstetric conditions: algo- rithms and radiation dose considera- tions. Radiographics 27:1705–1722

    Article  Google Scholar 

  28. Lewis DF, Robichaux AG 3rd, Jaekle RKet al (2003) Urolithiasis in preg- nancy. Diagnosis, management and pregnancy outcome. J Reprod Med 48:28–32

    PubMed  Google Scholar 

  29. AsratT, Roossin MC, Miller El (1998) Ultrasonographic detection of ure- teral jets in normal pregnancy. Am J Obstet Gynecol 178:1194–1198

    Google Scholar 

  30. Preminger GM, Tiselius HG, Assimos DG et al (2007) 2007 Guideline for the management of ureteral calculi. EurUrol 52:1610–1631

    Google Scholar 

  31. Miller OF, KaneCJ (1999) Time to sto- ne passage for observed ureteral calculi: a guidefor patient education. J Ural 162(3 Pt 1 ):688–690

    Google Scholar 

  32. Skolarikos A, Mitsogiannis H, Delive- liotis C (2010) Indications, prediction of success and methods to improve outcome of shock wave lithotripsy of renal and upper ureteral calculi. Arch Ital Urol Androl 82:56–63

    PubMed  Google Scholar 

  33. Skolarikos A, Laguna MP, Alivizatos G etal (2010) The roleforactive monitoring in urinary stones: a systematic review. J Endurol 24:923–930

    Article  CAS  Google Scholar 

  34. Brandt B, Ostri P, Lange P, Kvist Kris- tensen J 1993) Painful caliceal calculi. The treatment of small nonobstruc- ting caliceal calculi in patients with Symptoms. ScandJ Urol Nephrol 27:75–76

    Article  CAS  Google Scholar 

  35. McAninch JW (1999) Genitourinary trauma. World J Urol 17:6–5

    Article  Google Scholar 

  36. Paparel RN'Diaye A, Laumon B et al (2006) The epidemiology of trauma of the genitourinary System after traffic accidents: analysis of a re- gisterof over 43,000 victims. BJU Int 97:338–341

    Article  PubMed  Google Scholar 

  37. Summerton DJ, Djakovic N, Kitrey ND et al (2014) Guidelines on uro- logical trauma. European Association of Urology. http://www.uroweb.org/gls/pockets/english/PCUrological%20TraumaLR.pdf

  38. Kawashima A, Sandler CM, Corl FM etal (2001) Imaging of renal trauma: a comprehensive review. Radiogra- phics 21:557–574

    Google Scholar 

  39. Elliott SP, McAninch JW (2006) Ureteral injuries: external and iatrogenic. Urol Clin North Am 33:55–66, vi

    Article  PubMed  Google Scholar 

  40. McGeady JB, Breyer BN (2013) Current epidemiology of genitourinary trauma. Urol Clin North Am 40:323–334

    Article  PubMed Central  PubMed  Google Scholar 

  41. Pereira BM, Ogilvie MP, Gomez-Ro- driguezJCetal (2010) A review of ureteral injuries after external trauma. Scand JTrauma Resusc Emerg Med 18:6

    Article  Google Scholar 

  42. Siram SM, Gerald SZ, Greene WR et al (2010) Ureteral trauma: patterns and mechanisms of injury of an uncom- mon condition. Am J Surg 199:566–570

    Article  PubMed  Google Scholar 

  43. Brandes S, Coburn M, Armenakas N, McAninch J (2004) Diagnosis and management of ureteric injury: an evidence-based analysis. BJU Int 94:277–289

    Article  PubMed  Google Scholar 

  44. Chou MT, Wang CJ, Lien RC (2009) Prophylactic ureteral catheterizati- on in gynecologic surgery: a 12-year randomized trial in a community hospital. Int Urogynecol J Pelvic Floor Dysfunct 20:689–693

    Article  PubMed  Google Scholar 

  45. Delacroix SE Jr, Winters JC (2010) Urinary tract injures: recognition and management. Clin Colon Rectal Surg 23:104–112

    Article  PubMed Central  PubMed  Google Scholar 

  46. Medina D, Lavery R, Ross SE, Livings- ton DH (1998) Ureteral trauma: preo- perative studies neither predict injury nor prevent missed injuries. J Am Coli Surg 186:641–644

    Article  CAS  Google Scholar 

  47. Bjurlin MA, Fantus RJ, Mellett MM, Goble SM (2009) Genitourinary injuries in pelvicfracture morbidity and mortality using the National Trauma Data Bank. JTrauma 67:1033–1039

    Google Scholar 

  48. Gomez RG, Ceballos L, Coburn M et al (2004) Consensus Statement on bladder injuries. BJU Int 94:27–32

    Article  PubMed  Google Scholar 

  49. Wirth GJ, Peter R, Poletti PA, Iselin CE (2010) Advances in the management of blunt traumatic bladder rupture: experience with 36 cases. BJU Int 106:1344–1349

    Article  PubMed  Google Scholar 

  50. Deibert CM, Spencer BA (2011) The association between operative repair of bladder injury and improved sur- vival: results from the National Trauma Data Bank. J Urol 186:151–155

    Article  PubMed  Google Scholar 

  51. Ramchandani P, Buckler PM (2009) Imaging of genitourinary trauma. AJRAm J Roentgenol 192:1514–1523

    Article  Google Scholar 

  52. Tonkin JB, Tisdale BE, Jordan GH (2010) Assessment and initial management of urologic trauma. Med Clin North Am 95:245–251

    Article  Google Scholar 

  53. Quagliano PV, Delair SM, Malhotra AK (2006) Diagnosis of blunt bladder injury: a prospective comparative study of computed tomography cystogra- phy and conventional retrograde cys- tography. JTrauma 61:410–421

    Google Scholar 

  54. Chan DP, Abujudeh HH, Cushing GL Jr, Novelline RA (2006) CT cystogra- phy with multiplanar reformation for suspected bladder rupture: experience in 234 cases. AJR Am J Roentgenol 187:1296–1302

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Institut für Klinische Radiologie und Nuklearmedizin, Universitätsmedizin Mannheim, Mannheim

    J. Budjan, P. Riffel, M.M. Ong & S.O. Schönberg

  2. Medizinische Fakultät Mannheim, Universität Heidelberg, Mannheim

    J. Budjan, P. Riffel, M.M. Ong, C. Bolenz & S.O. Schönberg

  3. Klinik für Urologie, Universitätsmedizin Mannheim, Mannheim

    C. Bolenz

  4. Institut für Diagnostische und Interventionelle Radiologie, Universitätsklinik Köln, Köln

    S. Haneder

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  1. J. Budjan
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  2. P. Riffel
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  5. S.O. Schönberg
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  6. S. Haneder
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Editor information

Editors and Affiliations

  1. Institut für Radiologie, Deutsches Krebsforschungszentrum (DKFZ), Heidelberg

    Stefan Delorme

  2. Zentralinstitut für Bildgebende Diagnostik, Karlsruhe

    Peter Reimer

  3. Klinik für Diagnostische und Interventionelle Neuroradiologie, Universitätsklinikum des Saarlandes, Homburg

    Wolfgang Reith

  4. KW Hilversum, The Netherlands

    Cornelia Schäfer-Prokop

  5. Klinik für Radiodiagnostik, AKH, Wien

    Claudia Schüller-Weidekamm

  6. Kinderklinik, Universitätsklinikum Freiburg, Freiburg

    Markus Uhl

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Budjan, J., Riffel, P., Ong, M., Bolenz, C., Schönberg, S., Haneder, S. (2015). Infektionskrankheiten und Verletzungen der Harnblase und der ableitenden Harnwege. In: Delorme, S., Reimer, P., Reith, W., Schäfer-Prokop, C., Schüller-Weidekamm, C., Uhl, M. (eds) Weiterbildung Radiologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-46785-5_17

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  • DOI: https://doi.org/10.1007/978-3-662-46785-5_17

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