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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

  • Postrenal acute kidney injury

  • Voiding dysfunction

  • Estimation of bladder volume

  • Haematuria

  • Confirmation of proper urinary Foley catheter placement

  • Malfunctioning Foley catheter

 

Scanning Technique

  1. Longitudinal View

  • Place the transducer with the indicator pointing towards the patient’s head in the patient’s midline, right above the pubic symphysis.

  • Rock the probe so that it points down towards the pelvic cavity.

  • Observe the lateral borders of the bladder by tilting the probe left and right.

2. Transverse View

  • Next, centre the bladder and then rotate the transducer 90 degrees counterclockwise. The indicator should now point to the patient’s Right side.

  • Make sure to tilt the ultrasound probe so it scans into the pelvic cavity.

  • Tilt/Fan the probe to examine the entire bladder from superior to inferior.

3. Calculate the Volume of the Bladder

  • 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

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