COMPARISON OF RENAL ARTERIAL DOPPLER WITH THE GRADING OF HYDRONEPHROSIS

RENAL ARTERIAL DOPPLER AND GRADING OF HYDRONEPHROSIS

Abstract

BACKGROUND: Renal obstruction may result in life threatening condition of Hydronephrosis. The comparison of renal arterial Doppler with the grades of Hydronephrosis may help to assess the severity of disease. Hydronephrosis has a prevalence of 0.15% to 0.67% in general population.

OBJECTIVE:  The comparison of different parameters obtained from renal arterial Doppler with the grading of hydronephrosis.

METHODOLOGY: An analytical cross-sectional study conducted on a sample size of 133 individuals presented with Bilateral or Unilateral Hydronephrosis. Data of different Doppler parameters was collected by Doppler Ultrasound imaging. The Data was tabulated and statistically analyzed by the use of SPSS and MS Excel. The data was subjected to ANOVA and Descriptive analysis.

RESULTS: Comparative study was conducted to assess the ability of arterial renal Doppler to differentiate between the grades of hydronephrosis. The unilateral hydronephrosis was observed in 120 individuals while 13 individual were presented with bilateral hydronephrosis. Age of hydronephrotic patient have a range from 19y to 87y with mean of 45.8y and standard deviation is±14.8. The results shows that the Doppler parameters have a direct correlation with the grading of hydronephrosis, as the grade of hydronephrosis increases the resistance of the renal. Results of ANOVA analysis predicts that all Doppler parameters have significance difference regarding the grade of hydronephrosis, resistive index has higher F-values and is highly significance in the assessment of grade of hydronephrosis.

CONCLUSION:  The renal artery Doppler parameters has significance in differentiate the grades and severity of hydronephrosis. The change in resistive index can provide the clinical presentation for progression of hydronephrosis in patient of all ages.

BACKGROUND: Renal obstruction may result in life threatening condition of Hydronephrosis. The comparison of renal arterial Doppler with the grades of Hydronephrosis may help to assess the severity of disease. Hydronephrosis has a prevalence of 0.15% to 0.67% in general population.

OBJECTIVE:  The comparison of different parameters obtained from renal arterial Doppler with the grading of hydronephrosis.

METHODOLOGY: An analytical cross-sectional study conducted on a sample size of 133 individuals presented with Bilateral or Unilateral Hydronephrosis. Data of different Doppler parameters was collected by Doppler Ultrasound imaging. The Data was tabulated and statistically analyzed by the use of SPSS and MS Excel. The data was subjected to ANOVA and Descriptive analysis.

RESULTS: Comparative study was conducted to assess the ability of arterial renal Doppler to differentiate between the grades of hydronephrosis. The unilateral hydronephrosis was observed in 120 individuals while 13 individual were presented with bilateral hydronephrosis. Age of hydronephrotic patient have a range from 19y to 87y with mean of 45.8y and standard deviation is±14.8. The results shows that the Doppler parameters have a direct correlation with the grading of hydronephrosis, as the grade of hydronephrosis increases the resistance of the renal. Results of ANOVA analysis predicts that all Doppler parameters have significance difference regarding the grade of hydronephrosis, resistive index has higher F-values and is highly significance in the assessment of grade of hydronephrosis.

CONCLUSION:  The renal artery Doppler parameters has significance in differentiate the grades and severity of hydronephrosis. The change in resistive index can provide the clinical presentation for progression of hydronephrosis in patient of all ages.