What is the role of renal ultrasonography in the workup of bladder cancer?

Updated: Feb 23, 2021
  • Author: Kara N Babaian, MD, FACS; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
  • Print

Ultrasonography is also commonly used in the diagnosis of bladder cancer. However, urothelial tumors of the upper tract and small stones are easily missed. For patients who are unable to receive contrast, NCCN guidelines state that a renal ultrasound can be used in addition to retrograde ureteropyelogram as a substitute to CT with contrast. [1]  EAU guidelines state that ultrasonography is useful for identifying obstruction in patients with hematuria. It can detect renal masses, hydronephrosis, and bladder intraluminal masses but cannot rule out all potential causes of hematuria. It cannot reliably exclude the presence of upper tract urothelial carcinomas and cannot replace CT urography. [69]

Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!