Diagnostic Value of Ureteric Jet Frequency Examination Using Color Doppler Ultrasonography to Predict Succes of Retrograde DJ Stent Insertion

• Main Authors: Santoso Adi Sriyono, Tarmono Djojodimedjo, Moh Ayodhia Soebadi, Widodo Jatim Pudjirahardjo
• Format: Article PeerReviewed
• Language: English; English; English
• Published: The Indonesian Urological Association 2015
• Subjects: R Medicine (General); RD Surgery
• Online Access: http://repository.unair.ac.id/95443/1/Ureteric%20Jet%20Frequency%20Examination%20Using%20Color%20Doppler%20Ultrasonography%20to%20Predict%20Succes%20of%20Retrograde%20DJ%20Stent%20Insertion.pdf; http://repository.unair.ac.id/95443/2/Ureteric%20Jet%20Frequency.pdf; http://repository.unair.ac.id/95443/3/Ureteric%20Jet%20Frequency%20Examination%20Using%20Color%20Doppler_compressed.pdf; http://repository.unair.ac.id/95443/; http://juri.urologi.or.id/juri/article/view/95; https://doi.org/10.32421/juri.v22i1.95
• Institution: Universitas Airlangga

Abstract Objective: To prove that ureteric jet examination using Color Doppler Ultrasonography (CDU) can be used as a diagnostic tool to predict success of retrograde Double J Stent insertion in uterine cervicis carcinoma patients with hydronephrosis.Materials and Methods: This observational analytic study took 32 samples since May until October 2013. Before, the ureteric jet were counted for 5 minutes using CDU, then continued on the same day with cystoscopy and retrograde DJ Stent insertion. The analysis was using Chi-Square and also Coefficient Contingency test.Results: In both Chi-Square and Coefficient Contingency test, it is proven a significant correlation between success of retrograde DJ Stent insertion and Blood Urea Nitrogen (BUN), creatinine value, grade of hydronephrosis and also ureteric jet examination using CDU, with probability value (p < 0,005). The normal of BUN, creatinine level and the lower grading of hydronephrosis, the more likely successful DJ Stent insertion. Successfulness of DJ Stent insertion is also greater in a positive ureteric jet samples on examination using CDU, with sensitivity value 90,9% and specificity 89,5%, positive predictor value 83,3%, negative predictor value 95% and accuracy value 0,9.Conclusion: Ureteric jet frequency examination using CDU can be used as a success predictor of retrograde DJ Stent insertion in hydronephrosis uterine cervicis carcinoma patients with sensitivity value 90,9% and specificity 89,5%.