Kidney structure
Kidney size, position, contour, cortical appearance and visible structural abnormalities.
Kidney, urinary tract & bladder ultrasound • London & St Albans
A focused, radiation-free assessment of both kidneys and the urinary bladder, including ureters when visible and bladder emptying with a post-void residual measurement.
About the examination
A kidney and urinary tract ultrasound—also called a renal tract, kidney and bladder, or KUB ultrasound—uses high-frequency sound waves to assess the urinary system without ionising radiation.
The examination evaluates both kidneys and the bladder. The ureters are assessed where visible, particularly if they are dilated. A full bladder allows the practitioner to assess bladder capacity and the bladder wall before you urinate, followed by a post-void measurement to estimate any urine remaining.
It can support the investigation of urinary symptoms, flank pain, suspected stones, recurrent urinary infections, blood in the urine, abnormal renal blood tests, known cysts and concerns about incomplete bladder emptying.
Scan coverage
The exact scope is tailored to your symptoms, medical history and any previous investigations.
Kidney size, position, contour, cortical appearance and visible structural abnormalities.
Visible renal calculi, hydronephrosis and secondary signs suggesting impaired urinary drainage.
Assessment for simple or complex cystic findings and visible solid masses requiring further evaluation.
Dilated proximal ureters, ureteric jets and indirect features of obstruction where technically assessable.
Bladder volume, wall, internal debris, diverticula, stones and visible focal lesions.
Pre-void and post-void bladder volumes to estimate residual urine after urination.
In men, the transabdominal appearance or impression at the bladder base may be noted when relevant.
Limited Doppler assessment may be used where clinically relevant; renal artery stenosis requires a dedicated Doppler service.
When it may help
Before you arrive
Drink approximately 500–750 ml of still water 45–60 minutes before your appointment, unless your confirmation gives different instructions.
Try not to urinate before the first part of the scan. Arrive comfortably full rather than painfully overfilled.
A kidney-and-bladder-only scan normally does not require fasting. Combined abdominal scans may have separate fasting instructions.
Bring relevant urine or blood-test results, medication details, referral letters and previous ultrasound, CT or MRI reports when available.
Your appointment
Your practitioner confirms your symptoms, urinary history, previous infections or stones, relevant tests, medication and the focus of the examination.
You lie on the examination couch while gel and a handheld probe are used over the abdomen, sides and back. You may be asked to change position or briefly hold your breath.
After the first images and bladder-volume measurement, you are usually asked to use the toilet.
The bladder is rescanned to estimate the residual urine volume and assess how effectively it has emptied.
The main observations may be explained in clear language, followed by a written report with relevant images and recommendations.
Understanding the scope
Ultrasound is a valuable first-line test, but it cannot answer every urinary question.
Ultrasound may identify causes or complications of infection, but a UTI is diagnosed using symptoms, clinical assessment and urine testing.
Small or distal ureteric stones can be difficult to see. Hydronephrosis or ureteric dilatation may provide indirect evidence, and CT may be recommended.
Ultrasound may identify a visible mass but does not replace a complete haematuria pathway. Persistent blood in the urine may require cystoscopy and/or CT urography.
Choosing the right service
| Kidney & urinary tract scan | Both kidneys, bladder, ureters when visible, and pre-/post-void bladder volumes. |
|---|---|
| Dedicated prostate scan | More focused assessment of prostate size, contour and bladder outlet, according to the selected service. |
| Renal artery Doppler | A specialised vascular examination for suspected renal artery stenosis or renovascular hypertension. |
| Abdomen + urinary tract | Extends the assessment to upper-abdominal organs and usually requires fasting as well as a full bladder. |
| CT or MRI | May be recommended for small ureteric stones, complex masses, persistent haematuria or findings not fully characterised by ultrasound. |
PrivateSono
Book a self-referred kidney and urinary tract ultrasound at our Central London or St Albans clinic, with a structured examination and appropriate recommendations.
Book kidney & urinary scan — £219Examinations performed by appropriately trained ultrasound professionals.
Real-time diagnostic imaging with measurements and Doppler when indicated.
Principal observations explained clearly with a structured written report.
Online booking and self-referral across two clinic locations.
Clinic locations
Good to know
Answers to common questions about preparation, scan coverage, results and limitations.
Still unsure? Call 020 7101 3377The examination assesses both kidneys and the urinary bladder. The upper ureters may be assessed when visible, especially if dilated. Bladder volume and post-void residual urine can also be measured.
A comfortably full bladder provides a clearer acoustic window, helps the practitioner assess the bladder wall and capacity, and allows pre-void and post-void measurements.
Drink approximately 500–750 ml of still water 45–60 minutes before the appointment and try not to urinate. Follow the exact instructions in your booking confirmation, as individual requirements may vary.
Fasting is not usually required for a kidney-and-bladder-only examination. You may be given different instructions if the urinary scan is combined with an abdominal ultrasound.
Ultrasound does not directly diagnose a UTI. It may identify contributing factors or complications such as retention, stones, obstruction or hydronephrosis. Urine testing and clinical assessment are usually needed.
Many kidney stones can be identified, particularly stones within the kidneys that produce characteristic ultrasound features. Very small stones and some ureteric stones may not be visible, so further imaging may sometimes be recommended.
No. Normal ureters are often difficult to visualise on ultrasound. Dilated ureteric segments or secondary signs of obstruction may be seen when present.
The bladder is measured while full, after which you are asked to urinate. A second measurement estimates how much urine remains and helps assess bladder emptying.
In men, the prostate may be seen transabdominally and its impression on the bladder base may be noted. A detailed prostate assessment is a separate service unless specifically included in the booking.
The scan is non-invasive and does not use ionising radiation. Most people find it comfortable, although pressure from the probe can cause temporary discomfort over a painful area or a very full bladder.
Ultrasound does not use ionising radiation and may be performed during pregnancy when clinically appropriate. Menstruation does not usually prevent a transabdominal urinary tract scan.
The scan commonly takes around 15–20 minutes, although it may take longer if extra views, Doppler assessment or complex measurements are required.
The principal observations may be discussed at the appointment, and a written report with relevant images is provided according to the clinic’s reporting process.
No. PrivateSono accepts self-referrals. Please provide your symptoms, relevant medical history, medications, urine or blood-test results and previous imaging when available.
The report may recommend discussion with your GP or urology team, urine or blood tests, interval ultrasound, CT, MRI, cystoscopy or another specialist investigation depending on the finding and your symptoms.
Appointments in London & St Albans
View appointment availability and confirm your scan online for £219.