Ces Urol 2005, 9(1):50-52 | DOI: 10.48095/cccu2005010

Transabdominal ultrasonography in primary diagnosis of bladder carcinoma

K. Belej, M. Hrabec, F. Záťura, R. Fiala, Š. Kudláčková

Urologická klinika LF UP a FN Olomouc přednosta, doc. MUDr. František Záťura, CSc

The role of transabdominal ultrasonography in primary diagnosis in patients with suspicion for the bladder carcinoma has been evaluated in the prospective study. One hundred and fifty five consecutive patients (mean age 63.4 years, age range 29-84 years) with negative upper urinary tract and kidney imaging (ultrasound and excretory urography) have been assessed by trans-abdominal B-mode (2.7-5 MHz) sonography before further evaluation. All patients underwent oupatient cystoscopy. All positive and suspicious findings have been assessed histologically Positive histpathology has been found in 105 (68.2 %) patients. Compared to standard method (cystoscopy), sensitivity and specificity of ultrasonography was 86 % and 73.5 %, respectively. Study confirmed that transabdominal sonography is noninvasive and accurate imaging technique for investigation of adult patients with clinical suspicion for the presence of bladder cancer. Based on this study positive finding on ultrasonography allows direct indication of cystoscopy and endoscopic procedure under general or spinal anesthesia without confirmation by outpatient cystoscopy.

Keywords: ulrasonography, cystoscopy, urinary bladder, urothelial carcinoma

Published: January 1, 2005