76857 Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)

Name of the Procedure:

Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (e.g., for follicles)

Summary

A pelvic ultrasound is a medical imaging procedure that uses sound waves to create real-time images of the pelvic organs. This particular type is performed to monitor specific conditions or follow up on previous findings, such as the development of ovarian follicles.

Purpose

The goal of a pelvic ultrasound is to evaluate and monitor the health and structure of pelvic organs. It is often used to track the growth of ovarian follicles, investigate pelvic pain, abnormal bleeding, or other gynecological concerns.

Indications

Pelvic ultrasounds are indicated for:

• Investigating pelvic pain or swelling
• Abnormal menstrual cycles or bleeding
• Monitoring ovarian follicles, particularly in fertility assessments
• Detecting cysts, fibroids, or other abnormalities

Preparation

• Patients may be instructed to have a full bladder before the procedure, which helps in obtaining clearer images.
• Wear comfortable clothing and possibly a gown provided by the clinic.
• No fasting or cessation of medications required unless specified.

Procedure Description

1. The patient lies on an examination table.
2. A gel is applied to the lower abdomen to facilitate the transmission of sound waves.
3. A transducer (handheld device) is moved over the skin to capture images of the pelvic area.
4. The technologist may need to press slightly to get clear images.
5. The procedure is non-invasive and usually painless.

Duration

The procedure typically takes about 15-30 minutes.

Setting

Performed in a hospital radiology department, outpatient imaging center, or a gynecologist’s office.

Personnel

• Radiologist or sonographer specialized in ultrasound imaging
• Occasional involvement of a gynecologist for interpretation of results

Risks and Complications

• There are no significant risks or complications associated with a pelvic ultrasound as it is a non-invasive procedure.
• Minimal discomfort from the pressure of the transducer.

Benefits

• Provides valuable information for diagnosing and monitoring pelvic conditions.
• Real-time imaging allows for immediate assessment.
• Non-invasive with no exposure to radiation.

Recovery

• No recovery time needed.
• Patients can return to their normal activities immediately after the procedure.

Alternatives

• Other imaging procedures like MRI or CT scans, though they may expose the patient to higher costs and, in the case of CT, to radiation.
• Pelvic examination or other invasive diagnostic procedures may be required for more detailed investigation.

Patient Experience

• The patient may feel a warm sensation from the gel and mild pressure from the transducer.
• Generally, the procedure is comfortable and straightforward.
• Pain management is usually not necessary, but patients should communicate any discomfort to the technologist.