SonoPhile

Bladder

To assess
Assess the urinary bladder for wall hypertrophy, intraluminal findings, and urinary retention (as applicable).
Limitations
None
Patient's Preparation
• Patient should be well hydrated.
• The patient should be kept from voiding 30 minutes before the study.
• If the patient has a suprapubic or Foley catheter, the catheter should be clamped 1 hour before the exam to allow for bladder filling unless otherwise contra-indicated based on provider instructions/preferences.
Equipment Setup
Curvilinear transducer with a frequency range of 2-9 MHz that allows for appropriate penetration and resolution of anatomy, depending on patient’s body habitus
Common Pathology
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Postrenal acute kidney injury
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Voiding dysfunction
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Estimation of bladder volume
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Haematuria
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Confirmation of proper urinary Foley catheter placement
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Malfunctioning Foley catheter
Scanning Technique
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Longitudinal View
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Place the transducer with the indicator pointing towards the patient’s head in the patient’s midline, right above the pubic symphysis.
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Rock the probe so that it points down towards the pelvic cavity.
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Observe the lateral borders of the bladder by tilting the probe left and right.

2. Transverse View
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Next, centre the bladder and then rotate the transducer 90 degrees counterclockwise. The indicator should now point to the patient’s Right side.
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Make sure to tilt the ultrasound probe so it scans into the pelvic cavity.
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Tilt/Fan the probe to examine the entire bladder from superior to inferior.

3. Calculate the Volume of the Bladder
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Most ultrasound machines will automatically calculate the entire bladder volume, which should be less than 300-400 mL in healthy adults, and Post Void Residual (PVR) should be less than 50-100mL (Fitzgerald; Latini).

Longitudinal view: Female Bladder
Longitudinal view: Male Bladder


Transverse view: Male Bladder
Transverse view: Female Bladder

