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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Well-distended Urinary Bladder With Smooth Contour Mean?

1.what does "well-distended urinary bladder with smooth contour" mean?
is it good or bad?
2.mild left hydronephrosis with smooth narrowing in left distal ureter
what does smooth narrowing mean? and where is distal ureter? is it near bladder or near kidney?
THX
Mon, 10 Apr 2017
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Urologist 's  Response
1. When one has not voided for quiete sometime, his bladder gets distended. Bladder being an elastic structure distends almost spherically with smooth outline, like balloon . It is normal.

2. Distal ureter lies below the level of sacral promontory; i.e. the part of ureter in the true pelvis close to bladder.
Now Left mild hydronephrosis with narrowing un distal ureter can be a significant finding secondary to ureteric stricture or stone. Advisable to get CECT KUB with excretory phase images. It will rule out the differential diagnoses.

Regards
Dr Sumit
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What Does Well-distended Urinary Bladder With Smooth Contour Mean?

1. When one has not voided for quiete sometime, his bladder gets distended. Bladder being an elastic structure distends almost spherically with smooth outline, like balloon . It is normal. 2. Distal ureter lies below the level of sacral promontory; i.e. the part of ureter in the true pelvis close to bladder. Now Left mild hydronephrosis with narrowing un distal ureter can be a significant finding secondary to ureteric stricture or stone. Advisable to get CECT KUB with excretory phase images. It will rule out the differential diagnoses. Regards Dr Sumit