US There is little evidence to support the use of US in the initial evaluation of traumatic microscopic hematuria. That said, renal US may be considered in cases of pediatric renal trauma that might otherwise not be imaged with CT because of low levels of hematuria to provide a screening tool for the occult vascular injury, pre-existing congenital anomaly, or the unusual major renal injury without significant hematuria. Arteriography Renal arteriography is not appropriate in the initial evaluation of traumatic microscopic hematuria. Radiography Radiography (KUB) is not appropriate in the initial evaluation of traumatic microscopic hematuria. VCUG VCUG is not appropriate in the initial evaluation of traumatic microscopic hematuria. If there is concern for urethral injury, dedicated retrograde urethrography is a more appropriate initial imaging test. If there is concern for bladder injury, dedicated CT cystography is a more appropriate initial imaging test. Voiding Urosonography Voiding urosonography is not appropriate in the initial evaluation of traumatic microscopic hematuria. If there is concern for urethral injury, dedicated retrograde urethrography is a more appropriate initial imaging test. If there is concern for bladder injury, dedicated CT cystography is a more appropriate initial imaging test. Retrograde urethrography Retrograde urethrography is not appropriate in the initial evaluation of traumatic microscopic hematuria, unless there is high clinical suspicion for urethral injury (eg, pelvic fractures or known straddle injury). IVU IVU is not appropriate in the initial evaluation of traumatic microscopic hematuria. MRI MRI is not appropriate in the initial evaluation of traumatic microscopic hematuria. Although there are references that report on studies with design limitations, 8 well-designed or good-quality studies provide good evidence.
Hematuria Child. US There is little evidence to support the use of US in the initial evaluation of traumatic microscopic hematuria. That said, renal US may be considered in cases of pediatric renal trauma that might otherwise not be imaged with CT because of low levels of hematuria to provide a screening tool for the occult vascular injury, pre-existing congenital anomaly, or the unusual major renal injury without significant hematuria. Arteriography Renal arteriography is not appropriate in the initial evaluation of traumatic microscopic hematuria. Radiography Radiography (KUB) is not appropriate in the initial evaluation of traumatic microscopic hematuria. VCUG VCUG is not appropriate in the initial evaluation of traumatic microscopic hematuria. If there is concern for urethral injury, dedicated retrograde urethrography is a more appropriate initial imaging test. If there is concern for bladder injury, dedicated CT cystography is a more appropriate initial imaging test. Voiding Urosonography Voiding urosonography is not appropriate in the initial evaluation of traumatic microscopic hematuria. If there is concern for urethral injury, dedicated retrograde urethrography is a more appropriate initial imaging test. If there is concern for bladder injury, dedicated CT cystography is a more appropriate initial imaging test. Retrograde urethrography Retrograde urethrography is not appropriate in the initial evaluation of traumatic microscopic hematuria, unless there is high clinical suspicion for urethral injury (eg, pelvic fractures or known straddle injury). IVU IVU is not appropriate in the initial evaluation of traumatic microscopic hematuria. MRI MRI is not appropriate in the initial evaluation of traumatic microscopic hematuria. Although there are references that report on studies with design limitations, 8 well-designed or good-quality studies provide good evidence.