A Retrospective Analysis of the Accuracy & Role of Ultrasound and MDCT in the Evaluation of Traumatic & Non– Traumatic Bladder Pathologies

Rishi Philip Mathew; Jasbon Andrade; Hadihally B. Suresh

Volume : V, Issue : I, January - 2016

A Retrospective Analysis of the Accuracy & Role of Ultrasound and MDCT in the Evaluation of Traumatic & Non– Traumatic Bladder Pathologies

Rishi Philip Mathew, Jasbon Andrade, Hadihally B. Suresh

Abstract :

Objective: To evaluate the role of ultrasound and MDCT in traumatic and non traumatic bladder pathologies Materials & Methods: This was a retrospective study conducted over a period of one and half years from March 2014 to October 2015. Out of the 65 patients initially sent for KUB assessment by ultrasound, 50 patients were identified to have urinary bladder related pathology either on ultrasound or on further examination by MDCT. Final diagnosis was by surgery/histopathology as applicable. Statistical analysis included percentage frequency, sensitivity and specificity. Results: Among the 50 patients included in the study males comprised 74% and females 26%. Ultrasound and MDCT had a combined sensitivity and specificity of 95.8% and 88.2% respectively in accurately identifying various bladder pathologies. Conclusion It is of utmost importance to differentiate between extraperitoneal and intraperitoneal bladder rupture as the treatment for both is different. Accurate and early diagnosis by imaging helps reduce time for management and as well as avoid unnecessary surgery.