Abdomen and general

Prostate with urinary bladder and post-void residual report template

A structured prostate with urinary bladder and post-void residual report template used for prostate with bladder and residual urine, transrectal ultrasound. It covers 3 sections and 20 fields.

Demonstration content. Review and approve this template with your clinical lead before clinical use. Reference values shown in SonoTez are notes only and are never applied automatically.

Technique

Transabdominal ultrasound of the prostate and urinary bladder before and after voiding.

What to include: sections and measurements

Prostate

  • Transverse (cm)
  • AP (cm)
  • Craniocaudal (cm)
  • Volume (mL) calculated
  • Echotexture: homogeneous · heterogeneous
  • Intravesical projection: not seen · present
  • Additional description

Urinary bladder

  • Distension: adequately distended · poorly distended · empty
  • Wall: normal thickness · thickened · trabeculated
  • Wall thickness (mm)
  • Contents: anechoic · internal echoes / debris · calculus · intraluminal lesion
  • Pre-void length (cm)
  • Pre-void width (cm)
  • Pre-void height (cm)
  • Pre-void volume (mL) calculated
  • Post-void length (cm)
  • Post-void width (cm)
  • Post-void height (cm)
  • Post-void residual (mL) calculated

Other findings

  • Other findings

Writing the impression

Answer the clinical question first, list the remaining findings in order of importance, and keep anything new out of the impression. If a structure was not fully seen, say so and give the reason. See how to write an ultrasound report for wording and certainty terms.

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