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Rajendra Kumar, MD; Melvyn H. Schreiber, MD

JAMA. 1985;254(3):403-405.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

EXCRETORY urography (EU) is considered the first and foremost radiological procedure in the evaluation of the urinary tract. However, with experience and the emergence of newer imaging modalities, the role of EU needs reevaluation in the diagnostic studies of patients in many clinical situations. Numerous reports have appeared in the literature detailing the low yield of EU in certain clinical settings. Despite repeated condemnation of routine EU in conditions where its role is questionable, no decrease in the overall numbers of this procedure has been observed; teaching hospitals may be an exception. Approximately 4 million excretory urograms are performed in this country every year, with a total cost of over a half billion dollars.¹ Most of these examinations are accomplished in physicians' offices and nonteaching hospitals. Whether excretory urograms really are indicated in so large a group of patients is questionable and controversial.

Escalating medical costs make it imperative . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Radiology, University of Texas Medical Branch, Galveston.

Footnotes
Reprint requests to University of Texas Medical Branch, Galveston, TX 77550 (Dr Kumar).

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