Could Bladder wall elastography be used as an indicator for the diagnosys of bladder outlet obstruction by Benign Prostate Hyperplasia?

Abstract

Benign prostatic hyperplasia (BPH) is one of the most common causes of bladder outlet obstruction in me n. In this study we aimed to evaluate the elasticity of the bladder by Acoustic Radiation Force Impulse (ARFI) elastography in BPH patients. Fifty benign prostate patients were included in the study. After evaluation of patients in the outpatient clinic. A RFI elastography was performed with full bladder. Elastography was performed separately on the anterior, right and left walls of the bladder. Then the patient underwent uroflowmetry. The maximum flow rate and post-mix residual values in uroflowmetry were recorded. The mean age of the patients was 45.6 ± 3.77 The average of bladder anterior wall elasticity 3.39 ± 0.89, Bladder left wall elasticity 2,69 ± 0,82 and Bladder right wall elasticity was 3.69 ± 0.89.The mean prostate size 52.58 ± 24.16 The average of Qmax11.96 ± 4.85 The mean of PMR 77.8 ± 59.6 and mean of prostate elasticity was 2.97 ± 1.1 Urinary bladder wall elasticity with ARFI can be a diagnostic indicator for bladder outlet obstruction due to BPH.

Utility of 2‐Dimensional Shear Wave Elastography for Assessment of the Bladder Wall in Children With Acute Cystitis

“…Many different pathologic processes of various diseases can alter the bladder wall structure and result in elasticity changes. Several studies have reported bladder wall evaluations by SWE 28–30 . Eryılmaz et al 29 and McDonald and Kenney 31 reported that the elastographic values of the bladder wall in patients with benign prostate hyperplasia were correlated with the prostate gland volume and uroflowmetry.…”

“…Eryılmaz et al 29 and McDonald and Kenney 31 reported that the elastographic values of the bladder wall in patients with benign prostate hyperplasia were correlated with the prostate gland volume and uroflowmetry. In these studies, it was determined that bladder wall elastographic values could be used as indicators of bladder outlet obstruction 29,31 . It was stated that 2D SWE is a useful, sensitive technique for detecting changes in the elasticity of the bladder wall and can be used to detect early fibrotic changes in patients with bladder disorders 23 .…”