Can Bladder Wall Thickness Predict Videourodynamic Findings in Children with Spina Bifida?

The Journal of Urology
Woo Jin KimYuichiro Yamazaki

Abstract

We investigated whether bladder wall thickness measured at specifically defined bladder volumes could predict videourodynamic findings in children with spina bifida. We prospectively investigated patients with spina bifida on intermittent catheterization who underwent ultrasound examination simultaneously with videourodynamics. We evaluated the association between bladder wall thickness measured at maximum cystometric capacity and parameters including age, maximum detrusor pressure during filling or at leak and bladder compliance. Differences in bladder wall thickness measured at each percent maximum cystometric capacity were compared between patients with and without unfavorable videourodynamic findings. Maximum detrusor pressure 40 cm H2O or greater during filling or at leak, bladder compliance less than 10 ml/cm H2O, detrusor overactivity, bladder trabeculation and vesicoureteral reflux were defined as unfavorable videourodynamic findings. A total of 23 males and 30 females with spina bifida (median age 7.8 years) underwent measurement of bladder wall thickness at maximum cystometric capacity. Mean ± SD bladder wall thickness measured at maximum cystometric capacity was 1.7 ± 0.5 mm. Only age had a weak correlation with blad...Continue Reading

References

Nov 7, 2001·The Journal of Urology·L MüllerM Hellström
Jan 17, 2002·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·A C KuzmićD Ivanković
Aug 19, 2011·The Journal of Urology·Beth A Drzewiecki, Stuart B Bauer

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Citations

Jan 19, 2018·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Sanjay SinhaDilip M Babu
Sep 28, 2017·Clinical Pediatrics·Gillis G SchwartzLynnette J Mazur
Sep 10, 2016·Current Bladder Dysfunction Reports·Renea M Sturm, Earl Y Cheng

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