Which is the most accurate imaging modality for bladder injury?

Which is the most accurate imaging modality for bladder injury?

CT scanning is rapidly becoming the most recommended study for trauma evaluation of the bladder. It is fast, it can be used to evaluate other urologic organs, and it requires no additional manipulation of the patient beyond that needed for routine evaluation.

How is a ruptured bladder diagnosed?

Various tests have been employed for diagnosis of bladder rupture, including ultrasonography [6], retrograde cystogram (RC) [1], and computed-tomography (CT) with [1,7] or without [5] cystography. Intraperitoneal BR (IBR) is commonly managed surgically; extraperitoneal (EBR) can be managed conservatively [8].

Why is a cystogram performed?

A cystogram is a type of imaging scan. It’s done to check for urine (pee) leaking from the connection between your urethra (the tube that carries urine from your bladder to outside your body) and the bladder (see Figure 1).

What is the difference between a CT scan and a cystogram?

CT cystography is a variation of the traditional fluoroscopic cystogram. Instead of anterograde opacification of the urinary collecting system (as with CT urography), contrast is instilled retrograde into the patient’s bladder, and then the pelvis is imaged with CT.

How is a Cystogram performed?

During cystography, the healthcare provider will insert a thin tube called a urinary catheter and inject contrast dye into your bladder. The contrast dye will let the healthcare provider see your bladder more clearly. He or she will take X-rays of the bladder. Cystography is sometimes combined with other procedures.

Can you see bladder damage on CT scan?

A CT urogram is used to examine the kidneys, ureters and bladder. It lets your doctor see the size and shape of these structures to determine if they’re working properly and to look for any signs of disease that may affect your urinary system.

How is a cystogram performed?

How serious is a ruptured bladder?

Spontaneous rupture of the urinary bladder (SRUB) is rare and is often a life-threatening condition usually caused by abdominal or pelvic trauma (1). Unfortunately, the diagnosis and treatment of SRUB are often delayed and missed; most cases are discovered during laparotomy.

What to expect after a cystogram?

You do not need any special care after a cystography. You may go back to your usual diet and activities, unless your healthcare provider tells you differently. You should drink additional fluids for a day or so after the test. This will help the contrast dye flush out of your system.

Is a cystoscopy the same as a cystogram?

A cystogram is very similar to a cystoscopy in terms of the conditions they are used to identify and diagnose. However, they differ procedurally.

What can a cystogram diagnose?

Cystoscopy is used to diagnose, monitor and treat conditions affecting the bladder and urethra. Your doctor might recommend cystoscopy to: Investigate causes of signs and symptoms. Those signs and symptoms can include blood in the urine, incontinence, overactive bladder and painful urination.

What happens during a cystogram?