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Yuti Meriani; Fisnandya Meita Astari; Amril Mukmin

Jurnal Riset Rumpun Ilmu Kedokteran 2025 Pusat riset dan Inovasi Nasional

Urinary tract examination with the CT-Scan modality is considered superior to other imaging modalities because it produces better image resolution, clear anatomical details, and is able to accurately detect abnormalities. At the Radiology Installation of Brebes Hospital, the CT-Scan Urography examination is carried out without fasting requirements. Patients are only asked to remove metal objects from the abdominal area and hold urination before the examination begins. This aims to keep the urinary bladder (VU) fully filled so that it facilitates the evaluation of the anatomy of the urinary system, especially in detecting kidney stones which are the main complaints of patients. This study aims to find out in detail the procedure for CT-Scan Urography clinical urography of kidney stones, as well as the reasons why patients are asked to hold urination and are not asked to fast before the procedure is performed. The research method used is a mix method, which is a combination of qualitative and quantitative, with data collection through observation, interviews, and documentation. The research sample consisted of 3 patients who underwent CT-Scan Urography clinical examination of kidney stones at the Radiology Installation of Brebes Hospital. The results of the study showed that the procedure started from the patient's preparation, such as removing metal objects, drinking mineral water, and holding urination so that the VU was fully filled, thus helping the visualization of organs and urinary tract. This examination does not require fasting because the CT-Scan modality is able to provide a clear picture of the anatomy of the urinary tract without interference from the digestive system. These findings confirm that the CT-Scan Urography procedure at Brebes Hospital is simple, effective, practical, and provides optimal diagnostic results for patients.

Surtika Umar; I Putu Eka Juliantara; I Kadek Sukadana

Compromise Journal : Community Proffesional Service Journal 2023 LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Background: Urinary tract stones are the growth of hard, stone-like masses in the human urinary tract. The prevalence of urinary tract stones (BSK) in Indonesia is still not known for certain, but estimates suggest that there are around 170,000 cases of BSK every year. CT Scan is a radiological examination modality for diagnosing urinary tract stones with a sensitivity level of around 95%-100% and a specificity level of around 96%-98% for detecting urinary tract stones, so CT Scan is considered the gold standard in diagnosing this condition. Research Objectives: This study aims to determine the management of CT Scan Urography in clinical urinary tract stones in the Radiology Installation of Bhayangkara Hospital, Makassar. Method: This research used descriptive qualitative research with a case study approach, the research subjects consisted of 3 radiographers, 1 radiologist, and 1 sending doctor. Data collection was carried out through several stages, namely observation, interviews and documentation. Results: The results of research at the Radiology Installation of Bhayangkara Hospital, Makassar. The procedure for CT Scan Urography examinations in clinical urinary tract stones is that the patient drinks 750 ml of fresh tea until he feels like he wants to urinate, then the examination is carried out. The role and effect of giving plain tea can increase HU (Hounsfield Unit) density and also speed up diuresis, thereby helping to shorten examination time. The excess caffeine content of plain tea can speed up the process of increasing urine volume, thereby shortening the examination time..