Ultrasound measurement of detrusor wall thickness in healthy adults

Aims Measurements of detrusor wall thickness (DWT) are used to diagnose bladder outlet obstruction (BOO). No values of DWT exist in healthy adults so far. These values, however, are necessary to judge DWT in patients with suspected BOO correctly. The aim of this study was to determine DWT in healthy...

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Veröffentlicht in:Neurourology and urodynamics 2006, Vol.25 (4), p.308-317
Hauptverfasser: Oelke, Matthias, Höfner, Klaus, Jonas, Udo, Ubbink, Dirk, de la Rosette, Jean, Wijkstra, Hessel
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container_end_page 317
container_issue 4
container_start_page 308
container_title Neurourology and urodynamics
container_volume 25
creator Oelke, Matthias
Höfner, Klaus
Jonas, Udo
Ubbink, Dirk
de la Rosette, Jean
Wijkstra, Hessel
description Aims Measurements of detrusor wall thickness (DWT) are used to diagnose bladder outlet obstruction (BOO). No values of DWT exist in healthy adults so far. These values, however, are necessary to judge DWT in patients with suspected BOO correctly. The aim of this study was to determine DWT in healthy adults and to investigate if bladder filling, gender, age, or body‐mass index (BMI) influences DWT. Materials and Methods In 55 healthy adult volunteers between 15 and 40 years of age, DWT was measured at the anterior bladder wall with a 7.5 MHz ultrasound probe and with a full bladder. In nine of those volunteers, an urodynamic investigation was performed additionally during which DWT was measured in steps of 50 ml until 300 ml and in steps of 100 ml until the maximum bladder volume. Results DWT decreases rapidly during the first 250 ml of bladder filling but, thereafter, remains almost stable until maximal bladder capacity. No statistical difference was found between DWT at 250 ml and DWT at a higher bladder filling. Men had a greater DWT compared to women (1.4 vs. 1.2 mm, P 
doi_str_mv 10.1002/nau.20242
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No values of DWT exist in healthy adults so far. These values, however, are necessary to judge DWT in patients with suspected BOO correctly. The aim of this study was to determine DWT in healthy adults and to investigate if bladder filling, gender, age, or body‐mass index (BMI) influences DWT. Materials and Methods In 55 healthy adult volunteers between 15 and 40 years of age, DWT was measured at the anterior bladder wall with a 7.5 MHz ultrasound probe and with a full bladder. In nine of those volunteers, an urodynamic investigation was performed additionally during which DWT was measured in steps of 50 ml until 300 ml and in steps of 100 ml until the maximum bladder volume. Results DWT decreases rapidly during the first 250 ml of bladder filling but, thereafter, remains almost stable until maximal bladder capacity. No statistical difference was found between DWT at 250 ml and DWT at a higher bladder filling. Men had a greater DWT compared to women (1.4 vs. 1.2 mm, P &lt; 0.001). The age and BMI did not have a significant impact on DWT. Conclusions DWT remains stable at a bladder filling of 250 ml. At this state of bladder filling, DWT between different groups are comparable. Men have to be evaluated separately from women. Neurourol. Urodynam. © 2006 Wiley‐Liss, Inc.</description><identifier>ISSN: 0733-2467</identifier><identifier>EISSN: 1520-6777</identifier><identifier>DOI: 10.1002/nau.20242</identifier><identifier>PMID: 16652381</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adolescent ; Adult ; Age Factors ; bladder filling ; bladder wall ; Body Mass Index ; detrusor wall thickness ; Female ; gender ; Humans ; Male ; Muscle, Skeletal - anatomy &amp; histology ; Muscle, Skeletal - diagnostic imaging ; Muscle, Skeletal - physiology ; Reference Values ; Sex Characteristics ; Sex Factors ; Ultrasonography - standards ; ultrasound ; Urinary Bladder - anatomy &amp; histology ; Urinary Bladder - diagnostic imaging ; Urinary Bladder - physiology ; Urinary Bladder Neck Obstruction - diagnostic imaging</subject><ispartof>Neurourology and urodynamics, 2006, Vol.25 (4), p.308-317</ispartof><rights>Copyright © 2006 Wiley‐Liss, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3612-294d24f83b56f3b7cfb01e816f5d57632682d03ae169e71e7fd822055aa136103</citedby><cites>FETCH-LOGICAL-c3612-294d24f83b56f3b7cfb01e816f5d57632682d03ae169e71e7fd822055aa136103</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fnau.20242$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fnau.20242$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,4010,27904,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16652381$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Oelke, Matthias</creatorcontrib><creatorcontrib>Höfner, Klaus</creatorcontrib><creatorcontrib>Jonas, Udo</creatorcontrib><creatorcontrib>Ubbink, Dirk</creatorcontrib><creatorcontrib>de la Rosette, Jean</creatorcontrib><creatorcontrib>Wijkstra, Hessel</creatorcontrib><title>Ultrasound measurement of detrusor wall thickness in healthy adults</title><title>Neurourology and urodynamics</title><addtitle>Neurourol. Urodyn</addtitle><description>Aims Measurements of detrusor wall thickness (DWT) are used to diagnose bladder outlet obstruction (BOO). No values of DWT exist in healthy adults so far. These values, however, are necessary to judge DWT in patients with suspected BOO correctly. The aim of this study was to determine DWT in healthy adults and to investigate if bladder filling, gender, age, or body‐mass index (BMI) influences DWT. Materials and Methods In 55 healthy adult volunteers between 15 and 40 years of age, DWT was measured at the anterior bladder wall with a 7.5 MHz ultrasound probe and with a full bladder. In nine of those volunteers, an urodynamic investigation was performed additionally during which DWT was measured in steps of 50 ml until 300 ml and in steps of 100 ml until the maximum bladder volume. Results DWT decreases rapidly during the first 250 ml of bladder filling but, thereafter, remains almost stable until maximal bladder capacity. No statistical difference was found between DWT at 250 ml and DWT at a higher bladder filling. Men had a greater DWT compared to women (1.4 vs. 1.2 mm, P &lt; 0.001). The age and BMI did not have a significant impact on DWT. Conclusions DWT remains stable at a bladder filling of 250 ml. At this state of bladder filling, DWT between different groups are comparable. Men have to be evaluated separately from women. Neurourol. 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Results DWT decreases rapidly during the first 250 ml of bladder filling but, thereafter, remains almost stable until maximal bladder capacity. No statistical difference was found between DWT at 250 ml and DWT at a higher bladder filling. Men had a greater DWT compared to women (1.4 vs. 1.2 mm, P &lt; 0.001). The age and BMI did not have a significant impact on DWT. Conclusions DWT remains stable at a bladder filling of 250 ml. At this state of bladder filling, DWT between different groups are comparable. Men have to be evaluated separately from women. Neurourol. Urodynam. © 2006 Wiley‐Liss, Inc.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>16652381</pmid><doi>10.1002/nau.20242</doi><tpages>10</tpages></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adolescent
Adult
Age Factors
bladder filling
bladder wall
Body Mass Index
detrusor wall thickness
Female
gender
Humans
Male
Muscle, Skeletal - anatomy & histology
Muscle, Skeletal - diagnostic imaging
Muscle, Skeletal - physiology
Reference Values
Sex Characteristics
Sex Factors
Ultrasonography - standards
ultrasound
Urinary Bladder - anatomy & histology
Urinary Bladder - diagnostic imaging
Urinary Bladder - physiology
Urinary Bladder Neck Obstruction - diagnostic imaging
title Ultrasound measurement of detrusor wall thickness in healthy adults
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