Bladder volume determination: two-dimensional versus three-dimensional transvaginal ultrasound.
OBJECTIVE
To compare the results of in vivo measurement of bladder volume using three-dimensional (3D) ultrasound with that obtained from 2D ultrasound.


METHODS
Forty female inpatients with benign gynecologic diseases had urinary bladder volume determined by ultrasound before surgery. Each patient was initially scanned using the conventional transvaginal 2D ultrasound method, followed by transvaginal 3D ultrasound, and finally underwent sterilized catheterization to obtain the actual bladder volume. The relationships between actual bladder volume and each of the 2D and 3D scan volumes were determined.


RESULTS
The patients' bladder volumes varied from 30 mL to 590 mL. The mean value of the error measurement using transvaginal 2D ultrasound estimation was 15.7%, and the correlation coefficient was 0.90. The mean value of the error measurement using transvaginal 3D ultrasound estimation was -8.48%, with a correlation coefficient of 0.97.


CONCLUSIONS
Our data showed that the 3D scan tended to underestimate the actual bladder volume, while the 2D scan tended to overestimate it. Nevertheless, each method would suffice as a reliable noninvasive means of predicting actual bladder volume.
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Taoyuan, Taiwan.
Ching-Chung
CC
Liang
Tien-Yung
TY
Wei
Shuenn-Dhy
SD
Chang
Ching-Chang
CC
Hsieh
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005831:Genital Diseases, Female / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D021621:Imaging, Three-Dimensional; D008875:Middle Aged; D015588:Observer Variation; D009929:Organ Size; D011237:Predictive Value of Tests; D011300:Preoperative Care; D015203:Reproducibility of Results; D014463:Ultrasonography / Q000379:methods / Q000592:standards / Q000706:statistics & numerical data; D001743:Urinary Bladder / Q000033:anatomy & histology* / Q000000981:diagnostic imaging*; D014546:Urinary Catheterization; D014621:Vagina