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[Ultrasonographic assessment of bladder volume]
Antonio Fileni1, Roberto Renzetti, Giuseppe Di Marco
1Divisione Clinicizzata di Urologia, Ospedale G. Mazzini Teramo. rufile@tin.it
Introduction:
The aim of this study is to evaluate intra and inter-observatory variability in the sonography measurement of bladder volume.
Materials And Methods:
We have evaluated 138 patients (128 men and 10 women) affected by lower urinary tract symptoms with a mean age of 64 years (range 36-75) between December 2000 and June 2001. Sonography measurement of bladder volume was obtained at the end of a pressure/flow study with the double lumen catheter in situ. Measurement of bladder volume was performed by the same operator in 113 patients by calculating the transverse, longitudinal and anterior-posterior diameter; each measurement was repeated three times. In the remaining 25 patients examination was performed by three different operators for every patients, with a single evaluation for each operator. The real volume was measured by emptying the bladder using the urethral catheter.
Results:
The real bladder volume in the intra and inter-observatory group was 240 +/- 130 and 145 +/- 97, respectively. First, second and third measurement in the intra-observatory group were 229 +/- 113, 231 +/- 112, 234 +/- 127, respectively. On the other hand, first, second and third measurement in the inter-observatory group were 131 +/- 73, 129 +/- 66, 143 +/- 94, respectively.
Conclusions:
Looking at our results, it is clear that there is no significant difference between every single measurement in the intra and inter-observatory group. In addition, the estimation of bladder volume by ultrasound was quite similar to the real volume. We conclude that ultrasound is a precise, non invasive and highly reproducible technique to calculate the bladder volume.