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Ultrasound involves a probe that is placed near a structure and uses the transmission of ultrasound waves through a structure to produce images, after computer processing. [1] Ultrasound of the urinary tract is performed by a probe placed on the abdominal wall, called a transducer. [1] This occurs while a person is lying down. [1]
Abdominal ultrasound is of some benefit, but not diagnostic. Features that suggest posterior urethral valves are bilateral hydronephrosis, a thickened bladder wall with thickened smooth muscle trabeculations, and bladder diverticula. [citation needed] Voiding cystourethrogram (VCUG) is more specific for the diagnosis.
Through the abdominal wall, organs inside the pelvis can be seen, such as the urinary bladder or the ovaries and uterus in women. Because water is an excellent conductor for ultrasound waves, visualizing these structures often requires a well-filled urinary bladder (this means the patients has to drink plenty of water before the examination).
A bladder ultrasound may be conducted to view how much urine is within the bladder, indicating urinary retention. A urinary tract ultrasound , conducted by a more trained operator, may be conducted to view whether there are stones, tumours or sites of obstruction within the bladder and urinary tract.
Urinary symptoms can include blood in the urine, increased urinary frequency, urgency, occasional incontinence, difficulty voiding, and burning sensation. Emphysematous cystitis is often indicated in patients who have air in the urine. [6] In some cases, emphysematous cystitis can cause thickening of the bladder wall. [7]
Because it measures the thickness of the bladder wall, it is useful in cases of recurrent Urinary tract infections. [13] One study found that, in contrast to simple recurrent UTIs, which typically have a bladder wall thickness of less than 3 mm, cystitis cystica is indicated by values of bladder wall thickness greater than 3 mm. [14]
Diverticulum of the urinary bladder of a 59-year-old man, transverse plane Bladder diverticula containing stones: the bladder wall is thickened due to possible transitional cell carcinoma . Bladder diverticula as seen on ultrasound with doppler [ 18 ]
Neurogenic bladder dysfunction; A paraplegic patient with neurogenic bladder on regular ultrasound follow-up showing thickened bladder wall with trabeculations and sediments within the bladder. Specialty: Urology Complications: Kidney stones, kidney failure, urinary tract infections, hydronephrosis
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