Urological Imaging

The Bath Radiology Group offers a full range of tests to image the urinary tract.

The majority of the Bath Radiology Consultants are able to undertake urological imaging. We work closely with local consultant urologists to ensure that patients receive the most suitable test for their particular needs. Simon Malthouse, Toby Hall and Dominic Fay participate in the Urology multidisciplinary team to discuss the Radiological findings for patients with genitourinary conditions with clinicians at the weekly team meetings.  Dominic Fay, John Hardman and Andrea Phillips are also able to provide specialist expertise in Genitourinary Intervention.

Common tests performed include:

Ultrasound

Ultrasound scanning is an excellent technique for the examination of the kidneys and can also give useful information regarding the bladder.  It is often performed in conjunction with an assessment of urinary flow rate and bladder emptying.  In men, ultrasound is often used in the diagnosis of testicular conditions and can reliably detect testicular cancer.

Computed tomography

CT scanning has become the one of the prime methods of assessing the urinary tract and is of particular use in the diagnosis and treatment planning of kidney stones. Patients with blood in the urine will often have a CT IVU, essentially a carefully timed CT scan following an injection of x-ray dye into the veins. Abnormalities shown on ultrasound are often then clarified with CT scans.  CT is also used in the assessment of treatment and for looking for recurrence of diseases such as cancer

Nuclear medicine

A DMSA renogram is helpful for imaging renal scars and calculating split function. MAG 3 renogram is performed to investigate obstructive nephropathy

MRI

MRI scanning is used primarily as a problem solving tool in many areas of urological radiology although its role continues to develop

X-rays

X-ray examinations still have a useful role to play in follow up of kidney stones, although CT examinations are often used too.

Intervention

Ultrasound and CT are both used to guide biopsies, obtaining specimens for laboratory examination.  We also offer percutaneous nephrostomy, antegrade ureteric stenting, percutaneous renal stone treatment (PCNL), renal artery stenting and renal embolization.