Re: Hyperechoic bladder with frequency

From: art fougner, md (evsono@pipeline.com)
Wed May 26 08:28:12 1999


just saw one patient the other day with the findings Jim describes. lady has long history of "poor bladder capacity" and inability to fill bladder. is currently being followed by urologist with apparently nl cysto. Can't help thinking this is either interstitial cystitis or other intrinsic bladder path.

Art

At Tue, 25 May 1999, Joseph A Worrall MD RDMS wrote: >
>We are all neglecting the bladder, and it is an area that deserves more
>attention. I am convinced that some young person who wanted to carve out a
>niche for themselves could probably do some
>important, (seminal) work on the bladder and sonographic diagnosis. As far
>as I know the urologists have not developed this possibility. There have, of
>course, been some work done on stress incontinence.
>
>When I see something in the bladder or kidneys, I send an image to my
>urologist friend, who is very computer literate. I just send him emails with
>the images attached.
>
>I do not know if interstitial cystitis has any sonographic features. Bladder
>trabeculation and hypertrophy might be seen with urethral stricture. I am
>not sure if 6 mm is thick or not, but I think it is. The bladder wall does
>not normally attenuate the sound beam, so there must be something wrong with
>it.
>
>It sounds like she should see a urogynecologist.
>
>Can you send us an image?
>
>Hopefully someone who knows about this will contribute to this thread.
>
>Joseph A Worrall MD RDMS

--
art fougner, md
SonoScan/Genetic Sciences
forest hills, ny
evsono@pipeline.com



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