Comparison of manual and ultrasonographic evaluation of bladder size in patients prior to laparoscopy
Catheterization of the bladder may reduce laparoscopic complications although an enlarged bladder may be impalpable in overweight patients or following previous lower abdominal surgery. This study assessed bladder size by manual examination and transcutaneous ultrasound (US). Consecutive patients (n...
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| Veröffentlicht in: | Surgical endoscopy 1996-04, Vol.10 (4), p.432-433 |
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| creator | GREIG, J. D MAHADAVEN, M JOHN, T. G GARDEN, O. J |
| description | Catheterization of the bladder may reduce laparoscopic complications although an enlarged bladder may be impalpable in overweight patients or following previous lower abdominal surgery.
This study assessed bladder size by manual examination and transcutaneous ultrasound (US). Consecutive patients (n = 90; median age 55 years [20-85]; 61 females) undergoing laparoscopy were studied prospectively. All patients voided preoperatively and catheterization was performed if estimated US bladder volumes exceeded 300 ml.
Manual assessment failed to detect bladder enlargement in any patients (sensitivity: 0%; specificity: 4.4%), whereas ultrasound identified four patients at risk of bladder injury due to unsuspected enlargement (4.4%). Three of these patients were either overweight or obese and one patient had previous lower abdominal surgery. Of 12 patients (13%) catheterized, three had or developed urinary tract infections.
Preoperative voiding does not guarantee bladder emptying. Manual examination does not detect bladder enlargement reliably in the obese patient. Ultrasonography may improve patient selection for catheterization. |
| doi_str_mv | 10.1007/BF00191633 |
| format | Article |
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This study assessed bladder size by manual examination and transcutaneous ultrasound (US). Consecutive patients (n = 90; median age 55 years [20-85]; 61 females) undergoing laparoscopy were studied prospectively. All patients voided preoperatively and catheterization was performed if estimated US bladder volumes exceeded 300 ml.
Manual assessment failed to detect bladder enlargement in any patients (sensitivity: 0%; specificity: 4.4%), whereas ultrasound identified four patients at risk of bladder injury due to unsuspected enlargement (4.4%). Three of these patients were either overweight or obese and one patient had previous lower abdominal surgery. Of 12 patients (13%) catheterized, three had or developed urinary tract infections.
Preoperative voiding does not guarantee bladder emptying. Manual examination does not detect bladder enlargement reliably in the obese patient. Ultrasonography may improve patient selection for catheterization.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/BF00191633</identifier><identifier>PMID: 8661796</identifier><identifier>CODEN: SUREEX</identifier><language>eng</language><publisher>New York, NY: Springer</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Body Mass Index ; Catheterization ; Cholecystectomy, Laparoscopic ; Female ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Male ; Medical sciences ; Middle Aged ; Preoperative Care ; Prospective Studies ; Retrospective Studies ; Ultrasonic investigative techniques ; Ultrasonography ; Urinary Bladder - anatomy & histology ; Urinary Bladder - diagnostic imaging ; Urinary system</subject><ispartof>Surgical endoscopy, 1996-04, Vol.10 (4), p.432-433</ispartof><rights>1996 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c311t-17ab7677148375d8702e1e36066c830be26591ad2057b94f36956f2b8a085e833</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3044274$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8661796$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>GREIG, J. D</creatorcontrib><creatorcontrib>MAHADAVEN, M</creatorcontrib><creatorcontrib>JOHN, T. G</creatorcontrib><creatorcontrib>GARDEN, O. J</creatorcontrib><title>Comparison of manual and ultrasonographic evaluation of bladder size in patients prior to laparoscopy</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><description>Catheterization of the bladder may reduce laparoscopic complications although an enlarged bladder may be impalpable in overweight patients or following previous lower abdominal surgery.
This study assessed bladder size by manual examination and transcutaneous ultrasound (US). Consecutive patients (n = 90; median age 55 years [20-85]; 61 females) undergoing laparoscopy were studied prospectively. All patients voided preoperatively and catheterization was performed if estimated US bladder volumes exceeded 300 ml.
Manual assessment failed to detect bladder enlargement in any patients (sensitivity: 0%; specificity: 4.4%), whereas ultrasound identified four patients at risk of bladder injury due to unsuspected enlargement (4.4%). Three of these patients were either overweight or obese and one patient had previous lower abdominal surgery. Of 12 patients (13%) catheterized, three had or developed urinary tract infections.
Preoperative voiding does not guarantee bladder emptying. Manual examination does not detect bladder enlargement reliably in the obese patient. Ultrasonography may improve patient selection for catheterization.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Body Mass Index</subject><subject>Catheterization</subject><subject>Cholecystectomy, Laparoscopic</subject><subject>Female</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Preoperative Care</subject><subject>Prospective Studies</subject><subject>Retrospective Studies</subject><subject>Ultrasonic investigative techniques</subject><subject>Ultrasonography</subject><subject>Urinary Bladder - anatomy & histology</subject><subject>Urinary Bladder - diagnostic imaging</subject><subject>Urinary system</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkM9L7TAQhYMoep-6cS9kIS4eVGeSNj-WetH3BMGNrsu0TbWSNjVpBf3rrdyLrgbmfBwOH2MnCBcIoC-vbwHQopJyh60wlyITAs0uW4GVkAlt8wP2J6VXAMgtFvts3yiF2qoVc-vQjxS7FAYeWt7TMJPnNDR89lOk5R2eI40vXc3dO_mZpm5DVp6axkWeuk_Hu4GPS-KGKfExdiHyKXBPS3FIdRg_jtheSz654-09ZE-3N4_r_9n9w7-79dV9VkvEKUNNlVZaY26kLhqjQTh0UoFStZFQOaEKi9QIKHRl81YqW6hWVIbAFM5IecjON71jDG-zS1PZd6l23tPgwpxKbVAIi2IB_27AelmYomvLZXZP8aNEKL-dlr9OF_h02zpXvWt-0K3EJT_b5pRq8m2koe7SDyYhz4XO5RdM032Z</recordid><startdate>19960401</startdate><enddate>19960401</enddate><creator>GREIG, J. D</creator><creator>MAHADAVEN, M</creator><creator>JOHN, T. G</creator><creator>GARDEN, O. J</creator><general>Springer</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19960401</creationdate><title>Comparison of manual and ultrasonographic evaluation of bladder size in patients prior to laparoscopy</title><author>GREIG, J. D ; MAHADAVEN, M ; JOHN, T. G ; GARDEN, O. J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c311t-17ab7677148375d8702e1e36066c830be26591ad2057b94f36956f2b8a085e833</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Body Mass Index</topic><topic>Catheterization</topic><topic>Cholecystectomy, Laparoscopic</topic><topic>Female</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Preoperative Care</topic><topic>Prospective Studies</topic><topic>Retrospective Studies</topic><topic>Ultrasonic investigative techniques</topic><topic>Ultrasonography</topic><topic>Urinary Bladder - anatomy & histology</topic><topic>Urinary Bladder - diagnostic imaging</topic><topic>Urinary system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>GREIG, J. D</creatorcontrib><creatorcontrib>MAHADAVEN, M</creatorcontrib><creatorcontrib>JOHN, T. G</creatorcontrib><creatorcontrib>GARDEN, O. J</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>GREIG, J. D</au><au>MAHADAVEN, M</au><au>JOHN, T. G</au><au>GARDEN, O. J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of manual and ultrasonographic evaluation of bladder size in patients prior to laparoscopy</atitle><jtitle>Surgical endoscopy</jtitle><addtitle>Surg Endosc</addtitle><date>1996-04-01</date><risdate>1996</risdate><volume>10</volume><issue>4</issue><spage>432</spage><epage>433</epage><pages>432-433</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><coden>SUREEX</coden><abstract>Catheterization of the bladder may reduce laparoscopic complications although an enlarged bladder may be impalpable in overweight patients or following previous lower abdominal surgery.
This study assessed bladder size by manual examination and transcutaneous ultrasound (US). Consecutive patients (n = 90; median age 55 years [20-85]; 61 females) undergoing laparoscopy were studied prospectively. All patients voided preoperatively and catheterization was performed if estimated US bladder volumes exceeded 300 ml.
Manual assessment failed to detect bladder enlargement in any patients (sensitivity: 0%; specificity: 4.4%), whereas ultrasound identified four patients at risk of bladder injury due to unsuspected enlargement (4.4%). Three of these patients were either overweight or obese and one patient had previous lower abdominal surgery. Of 12 patients (13%) catheterized, three had or developed urinary tract infections.
Preoperative voiding does not guarantee bladder emptying. Manual examination does not detect bladder enlargement reliably in the obese patient. Ultrasonography may improve patient selection for catheterization.</abstract><cop>New York, NY</cop><pub>Springer</pub><pmid>8661796</pmid><doi>10.1007/BF00191633</doi><tpages>2</tpages></addata></record> |
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| ispartof | Surgical endoscopy, 1996-04, Vol.10 (4), p.432-433 |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Adult Aged Aged, 80 and over Biological and medical sciences Body Mass Index Catheterization Cholecystectomy, Laparoscopic Female Humans Investigative techniques, diagnostic techniques (general aspects) Male Medical sciences Middle Aged Preoperative Care Prospective Studies Retrospective Studies Ultrasonic investigative techniques Ultrasonography Urinary Bladder - anatomy & histology Urinary Bladder - diagnostic imaging Urinary system |
| title | Comparison of manual and ultrasonographic evaluation of bladder size in patients prior to laparoscopy |
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