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Re: Hyperechoic bladder with frequency From: DuBose, Terry (DuboseTerryJ@exchange.uams.edu) Wed May 26 09:09:40 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DuBose, Terry: "Student report on infertility: RE: Please be my assistant!!" Previous message: art fougner, md: "Re: Hyperechoic bladder with frequency" Maybe in reply to: James Smeltzer: "Hyperechoic bladder with frequency" An image would be nice to look at... I have never seen a full bladder that looks like this sounds. I agree that most have overlooked the bladder sonography. I have looked at more than a few female bladders using sonography. In fact Dr. Hennigan and I published the first (labeled) sonograph of the internal female urethra. See: Hennigan & DuBose; Sonography of the normal female urethra. AJR 1985: 145:839-841, also de Gonzales, Cosgrove, Joseph et al: The appearances on ultrasound of the female urethral sphincter. Br J Radiology 1988; 61:687-690. In addition the use of color ureteral-vesicle urine jets have a characteristic appearance. The jets normally fire randomly, 2-3 times a minute in hydrated adults, in an inferiormedial direction. They are best observed by the transverse transabdominal plane of view from a superpubic position and angling under the pubic bone. Use a high sensitivity (low velocity) color Doppler setting. Abnormal directions of jets and a "spraying" rather than a "flame like" jet has been observed with cystitis and ureteroceles. See: Garza, DuBose, Hill, et al: Evaluating Ureteral Jets with Color Doppler in Adults; J Diag Med Sonography 1991, 7:198-200. We will be looking forward to images and follow-up. Peace, Terry J. DuBose, M.S., RDMS, FAIUM University of Arkansas for Medical Sciences Little Rock, AR, USA http://www.uams.edu/CHRP/dmshome.htm <http://www.uams.edu/CHRP/dmshome.htm> - http://www.io.com/~dubose/ <http://www.io.com/~dubose/> -----Original Message----- From: evsono@pipeline.com [SMTP:evsono@pipeline.com] Sent: Wednesday, May 26, 1999 8:30 AM To: Multiple recipients of list ULTRASOUND Subject: Re: Hyperechoic bladder with frequency 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 Next message: DuBose, Terry: "Student report on infertility: RE: Please be my assistant!!" Previous message: art fougner, md: "Re: Hyperechoic bladder with frequency" Maybe in reply to: James Smeltzer: "Hyperechoic bladder with frequency"

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