Bladder Scan

<Investigations>

<Index>

Rationale

- US scan of bladder to determine volume

- Determine success of trial of void

- Reduces incidence of IDC related UTIs

Features

- Not accurate at volume > 999mls

- Measaures fluid in suprapubic region incl: ascities, haematoma, lymphocoele

- Poor quality results if scarring or obese

Procedure

- Pt supine

- Select sex of pt on scanner

- Male for women post hysterectomy

- US Gel

- Probe scanned over bladder

- Take 2-3 readings

Indications

- Residual urine vol post void

- Verify empty bladder

- Dx of urinary retention & bladder distension

- ID blockage of IDC

- Ass of bladder vol after IDC removal

- Trial of void

Results

- Post void residual volume

- Expected <150ml

- Correlate w clinical sign for indication of IDC

- 3-500mls may be accceptable