Top

International Urogynecology Journal

Published in:

01-11-2009 | Original Article

Measurement of detrusor wall thickness in women with overactive bladder by transvaginal and transabdominal sonography

Author: Hann-Chorng Kuo

Published in: International Urogynecology Journal | Issue 11/2009

Abstract

Introduction and hypothesis

Women with overactive bladder (OAB) might have a greater detrusor wall thickness (DWT) suggestive of detrusor overactivity (DO).

Methods

DWT was measured by transabdominal ultrasonography (TAU) and transvaginal ultrasonography (TVU) in normal and women with OAB-dry and OAB-wet. The subjects were further classified as normal, hypersensitive bladder, or DO by urodynamic results. DWT measured by TVU at empty bladder, and TAU at 250 ml and bladder capacity were compared among symptom and urodynamic subgroups.

Results

TVU-measured DWT was significantly greater at the bladder neck than other sites of the bladder wall. No significant difference of TVU-measured DWT was noted among subgroups. No significant difference of TAU-measured DWT among subgroups at 250 ml, but DWT at bladder capacity was significantly greater in OAB-wet or DO than other subgroups.

Conclusions

A greater DWT at bladder capacity measured by TAU can be useful as biomarker for DO in patients with OAB.

Milson I, Abrams P, Cardozo L, Roberts RG, Thuroff J, Wein AJ (2001) How widespread are the symptoms of an overactive bladder and how are they managed? A population based prevalence study. BJU Int 87:760–766CrossRef

Manieri C, Carter SS, Romano G, Trucchi A, Valenti M, Tubaro A (1998) The diagnosis of bladder outlet obstruction in men by ultrasound measurement of bladder wall thickness. J Urol 159:761–765CrossRefPubMed

Hakenberg OW, Linne C, Manseck A, Worth MP (2000) Bladder wall thickness in normal adults and men with mild lower urinary tract symptoms and benign prostatic enlargement. Neurourol Urodyn 19:585–593CrossRefPubMed

Oelke M, Hofner K, Jonas U, de la Rosette J, Ubbink D, Wijkstra H (2007) Diagnostic accuracy of noninvasive tests to evaluate bladder outlet obstruction in men: detrusor wall thickness, uroflowmetry, postvoid residual urine, and prostate volume. Eur Urol 52:827–834CrossRefPubMed

Kelly CE (2005) The relationship between pressure flow studies and ultrasound-estimated bladder wall mass. Rev Urol 7:S29–S34PubMed

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 109:145–148CrossRefPubMed

Kessler TM, Gerber R, Burkhard FC, Studer UE, Danuser H (2006) Ultrasound assessment of detrusor thickness in men—can it predict bladder outlet obstruction and replace pressure flow study? J Urol 175:2170–2173CrossRefPubMed

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

Khullar V, Cardozo LD, Salvatore S, Hill S (1996) Ultrasound: a noninvasive screening test for detrusor instability. Br J Obstet Gynaecol 103:904–908PubMed

10.

Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U et al (2002) The standardization of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodynam 21:167–178CrossRef

11.

Ouslander JG (2004) Mangement of overactive bladder. N Eng J Med 350:786–799CrossRef

12.

Andersson KE (2006) Treatment-resistant detrusor overactivity—underlying pharmacology and potential mechanisms. Int J Clin Pract Suppl 151:8–16CrossRefPubMed

13.

Kuo HC (2005) Videourodynamic characteristics and lower urinary tract symptoms of female bladder outlet obstruction. Urology 66:1005–1009CrossRefPubMed

14.

Muller L, Bergstrom T, Hellstrom M, Svensson E, Jacobsson B (2000) Standardized ultrasound method for assessing detrusor muscle thickness in children. J Urol 164:134–138CrossRefPubMed

15.

Oelke M, Hofner K, Jonas U, Ubbink D, de la Rosette J, Wijkstra H (2006) Ultrasound measurement of detrusor wall thickness in healthy adults. Neurourol Urodyn 25:308–317CrossRefPubMed

Title: Measurement of detrusor wall thickness in women with overactive bladder by transvaginal and transabdominal sonography
Author: Hann-Chorng Kuo
Publication date: 01-11-2009
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 11/2009
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-009-0946-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Measurement of detrusor wall thickness in women with overactive bladder by transvaginal and transabdominal sonography

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 11/2009

Prevalence and risk factors for bothersome lower urinary tract symptoms in women with diabetes mellitus from hospital-based diabetes clinic

Bacterial colonisation of collagen-coated polypropylene vaginal mesh: are additional intraoperative sterility procedures useful?

An inexpensive modified transobturator vaginal tape inside-out procedure for the surgical treatment of female stress urinary incontinence

Oral hormonal contraceptives affect the concentration and composition of urinary glycosaminoglycans in young women

Self-reported pad use per day reflects patient quality of life after pubovaginal sling surgery

Do the anatomical defects associated with cystocoele affect the outcome of anterior repair? A clinical and radiological study