Top

International Urogynecology Journal

Published in:

01-08-2010 | Review

Systematic review of the accuracy of ultrasound as the method of measuring bladder wall thickness in the diagnosis of detrusor overactivity

Authors: P. M. Latthe, R. Champaneria, K. S. Khan

Published in: International Urogynecology Journal | Issue 8/2010

Abstract

Introduction and hypothesis

A systematic review was carried out to study the hypothesis that bladder wall thickness (BWT) on ultrasound is accurate in diagnosing detrusor overactivity (DO).

Methods

Databases were searched from database inception to January 2009. Two reviewers independently selected articles and extracted data on study characteristics, quality and results.

Results

Five out of 190 screened studies were included. There were variations in the quality, methods of performing the ultrasound and urodynamics studies, and the format of reporting findings. BWT was more in women with DO than those with other types of incontinence in four out of five studies. Using a 5-mm cutoff (two studies), sensitivity varied between 40% and 84%, and specificity 78–89%.

Conclusions

There is lack of data to reliably estimate accuracy of BWT in DO.

Haylen BT, de Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J, Monga A, Petri E, Rizk DE, Sand PK, Schaer GN (2010) An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn 29(1):4–20PubMed

Martin JL (2006) Systematic review and evaluation of methods of assessing urinary incontinence. Health Technol Assess 10(6):1–132PubMed

Irwin DE, Mungapen L, Milsom I, Kopp Z, Reeves P, Kelleher C (2009) The economic impact of overactive bladder syndrome in six western countries. BJU Int 103(2):202–209CrossRefPubMed

Martin JL, Williams KS, Sutton AJ, Abrams KR, Assassa RP (2006) Systematic review and meta-analysis of methods of diagnostic assessment for urinary incontinence. Neurourol Urodyn 25(7):674–683CrossRefPubMed

National Collaborating Centre for Women's and Children's Health (2006) Urinary incontinence- the management of urinary incontinence in women

Irwin DE, Milsom I, Hunskaar S, Reilly K, Kopp Z, Herschorn S (2006) Population-based survey of urinary incontinence, overactive bladder, and other lower urinary tract symptoms in five countries: results of the EPIC study. Eur Urol 50(6):1306–1314CrossRefPubMed

Basra R, Kelleher C (2007) Disease burden of overactive bladder: quality-of-life data assessed using ICI-recommended instruments. Pharmacoeconomics 25(2):129–142CrossRefPubMed

Parsons M, Williams M, Cardozo L (2003) Anxiety during urodynamics. Int Urogynecol J Pelvic Floor Dysfunct (Supplement S10)

Latthe PM, Foon R, Toozs-Hobson P (2008) Prophylactic antibiotics in urodynamics: a systematic review of effectiveness and safety. Neurourol Urodyn 27(3):167–173CrossRefPubMed

10.

Sendag F, Vidinli H, Kazandi M, Itil IM, Askar N, Vidinli B, Pourbagher A (2003) Role of perineal sonography in the evaluation of patients with stress urinary incontinence. Aust NZ J Obstet Gynaecol 43(1):54–57CrossRef

11.

Haylen BT, Lee J (2008) The accuracy of post-void residual measurement in women. Int Urogynecol J Pelvic Floor Dysfunct 19(5):603–606CrossRefPubMed

12.

Minardi D, Piloni V, Amadi A, El AZ, Milanese G, Muzzonigro G (2007) Correlation between urodynamics and perineal ultrasound in female patients with urinary incontinence. Neurourol Urodyn 26(2):176–182CrossRefPubMed

13.

Yang JM, Huang WC (2003) Bladder wall thickness on ultrasonographic cystourethrography: affecting factors and their implications. J Ultrasound Med 22(8):777–782PubMed

14.

Khan KS, Dinnes J, Kleijnen J (2001) Systematic reviews to evaluate diagnostic tests. Eur J Obstet Gynecol Reprod Biol 95(1):6–11CrossRefPubMed

15.

Irwig L, Tosteson AN, Gatsonis C (1994) Guidelines for meta-analyses evaluating diagnostic tests (see comment). Ann Intern Med 120(8):667–676PubMed

16.

Deeks J (2001) Systematic reviews in health care: systematic reviews of diagnostic and screening tests. BMJ 323:157–162CrossRefPubMed

17.

Bossuyt PM, Reistma JB, Burns DE, Gastsonis CA, Glasziou PP, Irwig LM (2003) Towards complete and accurate reporting of studies of diagnostic accuracy: the STARD initiative. BMJ 326:41–44CrossRefPubMed

18.

Whiting P, Rutjes A, Reitsma J, Kleijnen J (2003) The development of QUADAS: a tool for the quality assessment of studies of diagnostic accuracy included in systematic reviews. BMC Med Res Methodology 3(1):25CrossRef

19.

Honest H, Khan KS (2002) Reporting of measures of accuracy in systematic reviews of diagnostic literature. BMC Health Services Research 2(1):4CrossRefPubMed

20.

Kolbl H, Bernaschek G (1990) Introital sonography—a new method in bladder function diagnosis. Geburtshilfe Frauenheilkd 50(4):295–298CrossRefPubMed

21.

Koelbl H, Bernaschek G, Deutinger J (1990) Assessment of female urinary incontinence by introital sonography. J Clin Ultrasound 18:370–374CrossRefPubMed

22.

Fukui J, Nakama M (1992) The role of urodynamic study in female patients with urinary incontinence. Acta Urologica Japonica 38(12):1369–1372PubMed

23.

Blatt AH, Titus J, Chan L (2008) Ultrasound measurement of bladder wall thickness in the assessment of voiding dysfunction. J Urol 179(6):2275–2278CrossRefPubMed

24.

Lekskulchai O, Dietz HP (2008) Detrusor wall thickness as a test for detrusor overactivity in women. Ultrasound Obstet Gynecol 32(4):535–539CrossRefPubMed

25.

Robinson D, Anders K, Cardozo L, Bidmead J, Toozs-Hobson P, Khullar V (2002) Can ultrasound replace ambulatory urodynamics when investigating women with irritative urinary symptoms? BJOG 109(2):145–148CrossRefPubMed

26.

Khullar V, Cardozo LD, Salvatore S, Hill S (1996) Ultrasound: a noninvasive screening test for detrusor instability. BJOG 103(9):904–908CrossRef

27.

Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. J Clin Epidemiol 62(10):1006–1012CrossRefPubMed

28.

Khan KS, Kunz R, Kleijnen J, Antes G (2003) Systematic reviews to support evidence-based medicine—how to review and apply findings of healthcare research. Royal Society of Medicine Press, London

29.

Rutjes AW, Reitsma JB, Coomarasamy A, Khan KS, Bossuyt PM (2007) Evaluation of diagnostic tests when there is no gold standard. A review of methods. Health Technol Assess 11(50: iii):ix–51

Title: Systematic review of the accuracy of ultrasound as the method of measuring bladder wall thickness in the diagnosis of detrusor overactivity
Authors: P. M. Latthe
R. Champaneria
K. S. Khan
Publication date: 01-08-2010
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 8/2010
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-010-1144-y

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Systematic review of the accuracy of ultrasound as the method of measuring bladder wall thickness in the diagnosis of detrusor overactivity

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 8/2010

Urge incontinence: estimating environmental and obstetrical risk factors using an identical twin study

Urinary tract injury: medical negligence or unavoidable complication?

The prevalence of anal incontinence in post-partum women following obstetrical anal sphincter injury

Measurement of pelvic floor muscular strength with the Colpexin pull test: a comparative study

Body image in women before and after reconstructive surgery for pelvic organ prolapse

P-QOL questionnaire in Thai version: response to comments by Wiwanitkit