Purpose:Bladder cancer is a frequent cause of haematuria in elderly patients, and bladder ultrasound (US) is a valuable tool in diagnosing these malignancies.
We examined the accuracy of 3D bladder US in diagnosing bladder tumors in patients with haematuria.
Patients and Methods: Twenty-one patients observed in the emergency department for haematuria underwent a kidney and bladder US. Patients with normal or uncertain bladder US findings underwent a 3D US and a cystoscopy.
Results: In 5 (23.8%) patients, the 3D US detected bladder tumours not seen in 2D US. All these patients were found to have bladder tumours on cystoscopy. Another 5 (23.8%) patients with uncertain findings on 2D US had normal 3D US and cystoscopy. 3D US showed a sensitivity of 83.3% and a specificity of 100% with a positive predicted value and negative predictive values of 100% and 93.8%, respectively.
Conclusion: 3D US was more sensitive than 2D US in diagnosing bladder tumours in patients with haematuria.
Written by:
Silva-Ramos M, Louro N, Versos R, Cavadas V, Marcelo F. Are you the author?
Department of Urology, Hospital Geral de Santo António, CHP, 4099-001 Porto, Portugal.
Reference: ISRN Urol. 2012;2012:158437.
doi: 10.5402/2012/158437
PubMed Abstract
PMID: 22550603
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