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Ureteric strictures and pelviureteric junction obstruction often present a diagnostic conundrum to radiologists, particularly after the first-line investigations have failed to provide a definitive answer. Transureteric ultrasonography (TUU) is a relatively novel technique performed by the radiologist, which uses a miniature endoluminal ultrasound probe to interrogate the ureteric anatomy and peri-ureteric soft tissues. In this review, we discuss how TUU is performed, and the normal imaging appearances of the ureter and surrounding anatomical structures. We also focus on the various pathological processes that can be accurately evaluated or diagnosed using TUU including lymphadenopathy, calculi, ureteric neoplasms, ureteritis, crossing vessels and aneurysms. As TUU is not well established in UK practice as yet, we suggest possible indications for its use in the diagnostic work-up of urological patients and future applications.

Original publication

DOI

10.1016/j.crad.2007.10.016

Type

Journal article

Journal

Clin Radiol

Publication Date

09/2008

Volume

63

Pages

1026 - 1034

Keywords

Endosonography, Equipment Design, Female, Humans, United Kingdom, Ureter, Ureteral Obstruction, Urinary Tract, Urologic Diseases