Ultrasound Assessment of Detrusor Muscle Thickness in Children with Non-Neuropathic Bladder/Sphincter Dysfunction

Objective: To measure detrusor muscle thickness in children with non-neuropathic bladder/sphincter dysfunction (NNBSD), and to evaluate the difference between children with various bladder dysfunctions and those with normal urodynamics. Materials and Methods: In 139 children the urodynamic study was...

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Veröffentlicht in:European urology 2002-02, Vol.41 (2), p.214-219
Hauptverfasser: Cvitković-Kuzmić, Andrea, Brkljačić, Boris, Ivanković, Davor, Grga, Ante
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creator Cvitković-Kuzmić, Andrea
Brkljačić, Boris
Ivanković, Davor
Grga, Ante
description Objective: To measure detrusor muscle thickness in children with non-neuropathic bladder/sphincter dysfunction (NNBSD), and to evaluate the difference between children with various bladder dysfunctions and those with normal urodynamics. Materials and Methods: In 139 children the urodynamic study was performed, and the detrusor of the anterior bladder wall was measured using high-frequency ultrasonography (US). Children were categorized into five groups, according to urodynamic findings. Differences in detrusor thickness between groups were tested by one-way ANOVA with post hoc Scheffé test. Results: Forty-six children (33.1%) had normal urodynamics, and mean (±S.D.) detrusor thickness 1.3±0.5 mm (range 0.5–3.0). Fifty-two (37.4%) had urge syndrome, with detrusor thickness of 2±0.7 mm (1.0–3.6). Thirty-three (23.7%) had dysfunctional voiding, with detrusor thickness of 2.6±0.5 mm (1.5–3.6). Four (2.9%) had lazy bladder, with detrusor thickness of 0.9±0.1 mm (0.8–1.0), and four had anatomical infravesical obstruction, with detrusor thickness of 4.4±0.3 mm (4–4.6). The mean detrusor thickness in all children with NNBSD was 2.2±0.7 mm (range 0.8–3.6). Multiple comparisons showed significant difference between all groups, except between children with normal urodynamics and children with lazy bladder. Conclusion: There is statistically significant difference in mean detrusor thickness between children with normal urodynamics and children with NNBSD. However, due to the overlap of measured values, it is not possible to determine the cut-off value that could be used to distinguish children with and without NNBSD.
doi_str_mv 10.1016/S0302-2838(01)00023-9
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Materials and Methods: In 139 children the urodynamic study was performed, and the detrusor of the anterior bladder wall was measured using high-frequency ultrasonography (US). Children were categorized into five groups, according to urodynamic findings. Differences in detrusor thickness between groups were tested by one-way ANOVA with post hoc Scheffé test. Results: Forty-six children (33.1%) had normal urodynamics, and mean (±S.D.) detrusor thickness 1.3±0.5 mm (range 0.5–3.0). Fifty-two (37.4%) had urge syndrome, with detrusor thickness of 2±0.7 mm (1.0–3.6). Thirty-three (23.7%) had dysfunctional voiding, with detrusor thickness of 2.6±0.5 mm (1.5–3.6). Four (2.9%) had lazy bladder, with detrusor thickness of 0.9±0.1 mm (0.8–1.0), and four had anatomical infravesical obstruction, with detrusor thickness of 4.4±0.3 mm (4–4.6). The mean detrusor thickness in all children with NNBSD was 2.2±0.7 mm (range 0.8–3.6). Multiple comparisons showed significant difference between all groups, except between children with normal urodynamics and children with lazy bladder. Conclusion: There is statistically significant difference in mean detrusor thickness between children with normal urodynamics and children with NNBSD. 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Materials and Methods: In 139 children the urodynamic study was performed, and the detrusor of the anterior bladder wall was measured using high-frequency ultrasonography (US). Children were categorized into five groups, according to urodynamic findings. Differences in detrusor thickness between groups were tested by one-way ANOVA with post hoc Scheffé test. Results: Forty-six children (33.1%) had normal urodynamics, and mean (±S.D.) detrusor thickness 1.3±0.5 mm (range 0.5–3.0). Fifty-two (37.4%) had urge syndrome, with detrusor thickness of 2±0.7 mm (1.0–3.6). Thirty-three (23.7%) had dysfunctional voiding, with detrusor thickness of 2.6±0.5 mm (1.5–3.6). Four (2.9%) had lazy bladder, with detrusor thickness of 0.9±0.1 mm (0.8–1.0), and four had anatomical infravesical obstruction, with detrusor thickness of 4.4±0.3 mm (4–4.6). The mean detrusor thickness in all children with NNBSD was 2.2±0.7 mm (range 0.8–3.6). Multiple comparisons showed significant difference between all groups, except between children with normal urodynamics and children with lazy bladder. Conclusion: There is statistically significant difference in mean detrusor thickness between children with normal urodynamics and children with NNBSD. However, due to the overlap of measured values, it is not possible to determine the cut-off value that could be used to distinguish children with and without NNBSD.</description><subject>Adolescent</subject><subject>Analysis of Variance</subject><subject>Bladder</subject><subject>Child</subject><subject>Child Welfare</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant Welfare</subject><subject>Male</subject><subject>Muscle, Smooth - diagnostic imaging</subject><subject>Muscle, Smooth - physiopathology</subject><subject>Syndrome</subject><subject>Ultrasonography</subject><subject>Urinary Bladder - diagnostic imaging</subject><subject>Urinary Bladder - physiopathology</subject><subject>Urinary Bladder, Neurogenic - diagnostic imaging</subject><subject>Urinary Bladder, Neurogenic - physiopathology</subject><subject>Urodynamics</subject><subject>Urodynamics - physiology</subject><subject>Voiding disorder</subject><issn>0302-2838</issn><issn>1873-7560</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0c9PFTEQB_DGaOSB_gmanoweFjrb3f44GXigmCAegHNT2tm86r720XY1_PcsvBc5cpo5fGYmmS8hH4AdAgNxdMU4a5tWcfWZwRfGWMsb_YosQEneyF6w12Txn-yR_VJ-z4j3mr8le9Ay2XUAC3J3M9ZsS5qip8elYClrjJWmgZ5izVNJmf6cihuRXq-C-xNnQEOky1UYfcZI_4W6opcpNpc45bSxdVb0ZLTeYz662qxCdBUzPb0vwzS3IcV35M1gx4Lvd_WA3Hw7u16eNxe_vv9YHl80rmuhNsIqK5jrvNaDEm3vROdvlXROI-fSceiYAMa5Uz2gFL31HbBWq1Z2rIfW8wPyabt3k9PdhKWadSgOx9FGTFMxEhSXSqkXIeieSS34DPstdDmVknEwmxzWNt8bYOYxFPMUinn8uGFgnkIxep77uDsw3a7RP0_tUpjB1y3A-R9_A2ZTXMDo0IeMrhqfwgsnHgCmhpwA</recordid><startdate>20020201</startdate><enddate>20020201</enddate><creator>Cvitković-Kuzmić, Andrea</creator><creator>Brkljačić, Boris</creator><creator>Ivanković, Davor</creator><creator>Grga, Ante</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>7TK</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>20020201</creationdate><title>Ultrasound Assessment of Detrusor Muscle Thickness in Children with Non-Neuropathic Bladder/Sphincter Dysfunction</title><author>Cvitković-Kuzmić, Andrea ; Brkljačić, Boris ; Ivanković, Davor ; Grga, Ante</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c421t-6a8a60c4d99f8625c64db87cc9e337c314061033c851e765ad4102982740512d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adolescent</topic><topic>Analysis of Variance</topic><topic>Bladder</topic><topic>Child</topic><topic>Child Welfare</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Female</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant Welfare</topic><topic>Male</topic><topic>Muscle, Smooth - diagnostic imaging</topic><topic>Muscle, Smooth - physiopathology</topic><topic>Syndrome</topic><topic>Ultrasonography</topic><topic>Urinary Bladder - diagnostic imaging</topic><topic>Urinary Bladder - physiopathology</topic><topic>Urinary Bladder, Neurogenic - diagnostic imaging</topic><topic>Urinary Bladder, Neurogenic - physiopathology</topic><topic>Urodynamics</topic><topic>Urodynamics - physiology</topic><topic>Voiding disorder</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cvitković-Kuzmić, Andrea</creatorcontrib><creatorcontrib>Brkljačić, Boris</creatorcontrib><creatorcontrib>Ivanković, Davor</creatorcontrib><creatorcontrib>Grga, Ante</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>European urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cvitković-Kuzmić, Andrea</au><au>Brkljačić, Boris</au><au>Ivanković, Davor</au><au>Grga, Ante</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ultrasound Assessment of Detrusor Muscle Thickness in Children with Non-Neuropathic Bladder/Sphincter Dysfunction</atitle><jtitle>European urology</jtitle><addtitle>Eur Urol</addtitle><date>2002-02-01</date><risdate>2002</risdate><volume>41</volume><issue>2</issue><spage>214</spage><epage>219</epage><pages>214-219</pages><issn>0302-2838</issn><eissn>1873-7560</eissn><abstract>Objective: To measure detrusor muscle thickness in children with non-neuropathic bladder/sphincter dysfunction (NNBSD), and to evaluate the difference between children with various bladder dysfunctions and those with normal urodynamics. Materials and Methods: In 139 children the urodynamic study was performed, and the detrusor of the anterior bladder wall was measured using high-frequency ultrasonography (US). Children were categorized into five groups, according to urodynamic findings. Differences in detrusor thickness between groups were tested by one-way ANOVA with post hoc Scheffé test. Results: Forty-six children (33.1%) had normal urodynamics, and mean (±S.D.) detrusor thickness 1.3±0.5 mm (range 0.5–3.0). Fifty-two (37.4%) had urge syndrome, with detrusor thickness of 2±0.7 mm (1.0–3.6). Thirty-three (23.7%) had dysfunctional voiding, with detrusor thickness of 2.6±0.5 mm (1.5–3.6). Four (2.9%) had lazy bladder, with detrusor thickness of 0.9±0.1 mm (0.8–1.0), and four had anatomical infravesical obstruction, with detrusor thickness of 4.4±0.3 mm (4–4.6). The mean detrusor thickness in all children with NNBSD was 2.2±0.7 mm (range 0.8–3.6). Multiple comparisons showed significant difference between all groups, except between children with normal urodynamics and children with lazy bladder. Conclusion: There is statistically significant difference in mean detrusor thickness between children with normal urodynamics and children with NNBSD. However, due to the overlap of measured values, it is not possible to determine the cut-off value that could be used to distinguish children with and without NNBSD.</abstract><cop>Switzerland</cop><pub>Elsevier B.V</pub><pmid>12074411</pmid><doi>10.1016/S0302-2838(01)00023-9</doi><tpages>6</tpages></addata></record>
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subjects Adolescent
Analysis of Variance
Bladder
Child
Child Welfare
Child, Preschool
Children
Female
Humans
Infant
Infant Welfare
Male
Muscle, Smooth - diagnostic imaging
Muscle, Smooth - physiopathology
Syndrome
Ultrasonography
Urinary Bladder - diagnostic imaging
Urinary Bladder - physiopathology
Urinary Bladder, Neurogenic - diagnostic imaging
Urinary Bladder, Neurogenic - physiopathology
Urodynamics
Urodynamics - physiology
Voiding disorder
title Ultrasound Assessment of Detrusor Muscle Thickness in Children with Non-Neuropathic Bladder/Sphincter Dysfunction
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