Non-Invasive Diagnostic Ultrasound
Kidney, Bladder, and Prostate Ultrasound Results Explained
Written and reviewed by Shervin Badkhshan, MD · Last reviewed
November 2026
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A kidney, bladder, and prostate ultrasound is a painless test that uses sound waves to look at the urinary system. Many findings, such as simple kidney cysts, prostate calcifications, and an enlarged prostate, are common and are not cancer.
1. What the test is and why I ordered it
Ultrasound uses sound waves, with no radiation, to look at the kidneys, bladder, and prostate. I order it to check for kidney swelling, stones, or cysts, to measure how well the bladder empties, and to estimate prostate size.
2. What the numbers usually mean
- Hydronephrosis: kidney swelling from a blockage, graded mild to severe.
- Simple kidney cysts: very common and benign.
- Post-void residual (urine left after you go): under about 50 to 100 mL is usually fine. Results repeatedly over about 200 to 300 mL suggest the bladder isn't emptying well.
- Prostate volume: about 20 to 30 mL is typical for a younger adult. Larger glands are common with age, though size doesn't closely match symptoms.
- Bladder wall thickening or pouches (diverticula): can be signs of long-standing blockage.
3. What usually happens next
A complex cyst or solid mass usually needs a CT or MRI. A high residual is often rechecked and paired with a flow test before discussing medication or a procedure. Hydronephrosis leads to finding and fixing its cause.
4. When to call right away
- You cannot urinate, or your bladder feels painfully full
- Fever with flank pain
5. Where to see your result and ask about it
Your actual result, and any note from your care team, is in your patient portal, the same one you use to book visits and send messages. Send questions about your result through the portal, or call the office at (516) 535-1900. If something feels urgent, call the office or go to the nearest emergency room. This page explains what results usually mean; it can't interpret yours.
Related Clinical Resources & Subspecialty Pathways
If your results point to narrowing, sphincter weakness, or erectile dysfunction, these guides explain the conditions and treatment options:
Have Questions About Your Urology Test Results?
Review your imaging, ultrasound, or lab reports with Dr. Badkhshan, in person or by video. He'll interpret the findings in the context of your symptoms, history, and exam.
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