the benefits of ivp and barium enema in patients undergoing hysterectomy for benign conditions

a review of500 cases was undertaken in order to identify which patients undergoing hrsterectomy for benign disease weresubjected topreoperative intravenous pyelogram (lvp) and/ or barium enema (be), and what abnormalities couldbe anticipatedbythese procedures as a surgical screen. over 80% ofthe cases reviewed underwent trans-ahdominal hysteredomy, and the remainder hadvaginal hysterectomy. close to one-third of the patients were admitted with the diagnosis offibroid; and one-sixth with uterine prolapse. miscellaneous benign conditions included adnexal masses, ovarian cysts, and dysfunctional uterine bleeding. twentytwo patients (4.4%) had ivp preoperatively, while eight patienls (1.6%) were given both lip and barium enema prior to hysterectomy. over three-fourth ofthe 22 patients revealed normal ivp, while one-half who had received both ivp and/or be had an unremarkable roentgenogram interpretation. none of the subiects who had unusual findings in either group were ofclinical significance on the pathology report post-operative coursefor the patients was also quite unremarkable. this review indicates that when benign disease is clear-cut and hysteredomy is indicated there is no needfor ivp and barium enema.