Q. What important information is gained from pelvic bimanual examination that cannot be obtained from radiologic evaluation?
Presence of bladder mass
Invasion of bladder cancer into perivesical fat
Presence of bladder calculi
Presence of associated pathologic lesion in female adnexal structures
Mobility/fixation of pelvic organs
In addition to defining areas of induration, the bimanual examination allows the examiner to assess the mobility of the bladder; such information cannot be obtained by radiologic techniques such as CT & MRI, which convey static images.