Ultrasound of the bladder: how to prepare for the exam?
- Diseases of the bladder and its structures, identify on ultrasound
Ultrasound of the bladder (MP) is a painless, non-invasive and informative method of examination. That is why resort to it if you suspect any pathology associated with that body. Preparation for ultrasound of the bladder almost the most important component in the survey. Together with the study of MP, required visualization of the kidneys and urinary ducts. MP is in a sense a window through which you can make the visualization of the prostate gland.
Indications for research
- Pain in the pelvic area.
- Rare, or, conversely, frequent urination.
- Recurring cystitis in adults.
- Acute infection in children.
- The appearance of blood in the urine.
- Urinary retention.
- Suspected pathology of the prostate (for men).
- The suspected cancer .
- Any disease of the kidneys (allow to diagnose in the complex).
In preparation for the examination
Improper preparation of the patient, the doctor will not be able to carry out the survey. The bladder is a hollow organ, it melts in the unfilled condition, and to see that and measure it on the ultrasound is simply impossible. Follow your doctor’s instructions, which directs you to the procedure. Technician can you send on renal ultrasound, because these two bodies are closely linked.
The purpose of training and in women and men is to fill MP. This requires an hour and a half before the ultrasound to urinate, and then slowly drink a liter of water (on average 4-5 glasses). If you experience the urge to urinate, not defecate, and wait for the study. Due to the fact that the road to the clinic or hospital where the ultrasound was scheduled, it may take more than an hour, and there quite possible turn, and you will not be taken quickly, many take water with you and drink it, waiting for the queue to the doctor. Preparation for ultrasound of the bladder in women and men are fundamentally no different.
Training in children
Training children is complicated due to the fact that the child is difficult to drink just water, children often refuse to do it. It is necessary to explain to him why this is necessary. For a couple of hours before the test the child needs to urinate. Instead of water you can give him tea or juice, but in any case milk or carbonated water (these drinks cause flatulence, which further complicate the doctor ultrasound visualization of the bladder). How much water to give baby before the ultrasound? The rate of fluid that you should drink the child is 5-10 ml per kilogram of its weight. Infants water is not necessary. Children up to two years is to drink at least half of it (from the nipples), from three to seven years — the glass from seven to eleven years and a half, and adolescents the full two.
While preparing it is necessary to strike a balance, because if you drink enough water, you will not be able to fill the bladder, and the doctor will not be able to adequately assess the parameters required in the study. If you, instead, drink too much, the doctor can diagnose the pathology, which is actually there (enlargement of the renal pelvis or residual urine) or simply do not doterpet before the study. If you suffer from bloating, two days before the test remove from the milk, cabbage, citrus, nuts, bread and baked goods, bow.
Prepare for ultrasound of the bladder is necessary, otherwise the results will be distorted! Because how much water you drink depends on the successful ultrasound! Pay special attention to the preparation for the procedure.
How goes the research?
The patient usually lies on his back, however, sometimes a doctor is needed to rotate in the downward condition. The patient should be relaxed and breathe easily. On the lower part of the abdomen the doctor put a gel and begins the study. After the study of the bladder in a filled condition, the patient should urinate and after that, the doctor has to examine an empty bladder. On average, the procedure is quick (takes 15 to 20 minutes). In addition to the bladder, the doctor scans the kidneys and ureters. Ultrasound can be external and internal. An internal ultrasound is done for special reasons, so your doctor before the appointment of the study will inform you about this.
What would be the results
Filled with MP doctor sees anechoic mass emerging from the pelvis. The norm is when the inner contour of the organ is smooth, and transverse sections are symmetrical. The wall thickness of the individual, depending on fullness, but it should be the same all over. The thickness of the wall in the filled condition of approximately 4 mm. After the study the patient will need to urinate. This is the norm when there is no balance, if there is residual urine, its volume should be measured. After the examination, the bladder to visualize the kidneys and ureters.
Diseases of the bladder and its structures, identify on ultrasound
Ultrasound shows the following characteristics, which play a role in determining the pathology and diagnosis:
- Changes wall thickness.
- Detection of trabeculoplasty.
- The presence of internal cysts.
- Tumor structure in the cavity of the bladder or at the base.
Widespread wall thickening in men occurs due to an obstruction (blockage) at the level of the prostate. Thus it is necessary to exclude hydronephrosis therefore conducted a survey of the urinary tract and kidneys. Perhaps there are diverticula MP (they are outside, but they can be seen only if the diameter exceeds 1 cm, they are echogenic and have good sound conduction. Wall thickening can be triggered by severe, chronic inflammatory diseases, including cystitis. Schistosomiasis (a parasitic disease) gives a similar pattern: increased echogenicity of the wall, has a hyperechoic inclusion (the calcification).
Very thick trabecular wall is determined with:
- External obstruction of the posterior valve of the urethra or in the presence of urogenital diaphragm in children.
- Neurogenic MP (accompanied with ureterohydronephrosis).
Local thickening of the wall check carefully to rule out cancer.
Causes local thickening:
- The lack of content.
- Lose body to tuberculosis or parasitic infections.
- Acute reaction to schistosomiasis in children.
- Hematoma after trauma.
Echogenic formations associated with the wall:
- «Soldered» to the mucosa of the stones.
- Cyst «urethrocele».
- Polyp on the leg.
- Prostate enlargement in men.
- The increase of the uterus in women.
Movable echogenic formation in the cavity:
- Foreign body.
- A thrombus (blood clot).
Increased or overstretched MP shows:
- Enlargement of the prostate.
- Strictures or stones urethra in men.
- Trauma of the urethra in women.
- Cystitis (because of this, the patient is not able to hold urine for long).
- Damage or fibrosis of the wall (reduced bladder volume).
- Cancer. Radiation therapy and surgical treatment.
- Rare infiltrative cancer. This makes cancer the bladder is asymmetric, which can be seen on ultrasound.
Is ultrasound from 700 to 900 rubles depending on the hospital and city where you live. Many patients the price might seem high, but the ultrasound reveals so many diseases that this technique is simply irreplaceable, if you want to have a healthy bladder. If ultrasound of the bladder and kidneys you appointed attending physician of the budget clinic to which you are attached, the study will do for free. Ultrasound today are in every medical facility. It is more logical to conduct a study in conjunction with ultrasound of the kidneys and urinary tract because this will allow you to assess the pathology of the urinary system and the prostate in men in the complex.