Interrater reliability of bladder ultrasound measurements in children

Marzuillo, Pierluigi; Guarino, Stefano; Capalbo, Daniela; Acierno, Sabrina; Menale, Francesco; Prisco, A.; Arianna, Vincenzo; Manna, Angela La; Giudice, Emanuele Miraglia del

doi:10.1016/j.jpurol.2019.12.015

Cited by 8 publications

(5 citation statements)

References 17 publications

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“…An increase in bladder wall thickness, which is a common nding in our series, has been extensively studied in the literature as a prognostic factor in children with lower urinary tract symptoms [19], [20] Different studies have also shown that the higher the bladder wall thickness, the lower the rate of response to rst-line treatment of children with nocturnal enuresis [19], [21]. However, there are reports stating that factors such as bladder volume at the time of measurement and the location of the probe can affect bladder wall thickness measurements [4]. Müller et al [22] they found that bladder wall thickness variability increased with lower bladder volume.…”

Section: Resultsmentioning

confidence: 79%

“…Oktay et al [5] they have shown that there are anatomical changes in the structures of the lower urinary tract in pediatric patients with incontinence and emphasized that these differences should be taken into consideration in the diagnosis, follow-up and treatment of patients with urinary incontinence. Another study showed a good reliability of bladder ultrasonography in children aged 7.3 ± 1.1 years when it comes to bladder volume measurement [4]. In our study, unlike the literature highlights, all of our patients were evaluated with USG of the urinary system together with the bladder.…”

Section: Resultsmentioning

confidence: 83%

“…We see in the literature the results of the study obtained by evaluating patients with daytime urinary incontinence usually only by bladder ultrasonography [4] [5]. The number of studies including detailed urinary system ultrasonography, simultaneous uro owmetry and evaluation with voiding diary is limited.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of urinary system ultrasonography, uroflowmetry and voiding diary results in children with daytime urinary incontinence

Yener

İlçe

2023

Preprint

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Purpose To assess examine the results of urinary system ultrasonography, uroflowmetry and voiding diary for children patients presenting withday time urinary incontinence. Patients and methods Patients aged 5-17 years with day time urinary incontinence were retrospectively analyzed. Urinary system ultrasonography, uroflowmetry, complete urinalysis and two-day voiding diary were recorded for all patients. Comorbid diseases and surgeries were determined with a detailed history. Results A total of 1805 patients were identified. Abnormal USG findings were detected in 385 (21.3%) patients. The highest bladder capacity detected in the voiding diary was found to be below the expected bladder capacity in 41.2% of the patients, while the bladder capacity measured in the uroflowmeter was low in 65.4% of the patients. Urinary tract infection was detected in 315 patients in the complete urinalysis. Associated disease was seen in 401 patients with a detailed history. Conclusion We think that ultrasonographic evaluation in these patients should include the entire urinary system, since upper urinary system anomalies can be seen not only in the bladder but also in the upper urinary tract. We think that a well-prepared voiding diary provides sufficient data in terms of bladder volume instead of bladder volume measured by bladder ultrasonography and/or uroflowmetry.

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Section: Resultsmentioning

confidence: 79%

Section: Resultsmentioning

confidence: 83%

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Evaluation of urinary system ultrasonography, uroflowmetry and voiding diary results in children with daytime urinary incontinence

Yener

İlçe

2023

Preprint

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“…According to these data, BWT and DWT should represent an average of three anterior bladder wall measurements with the bladder filled to more than 250 ml [ 16 ]. After maintaining the above mentioned guidelines, these measurements present high intra- and interobserver reproducibility [ 17 , 18 ].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of non-invasive tests as diagnostic tools in assessment of bladder outlet obstruction severity in men with anterior urethral stricture

Krukowski

Kałużny

Kłącz

et al. 2021

Cent european J Urol

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Introduction The aim of this article was to evaluate non-invasive tests, which were typically used in preoperative diagnosis of male patients with anterior urethral strictures in the assessment of the urethral resistance caused by urethral occlusion. Material and methods A total of 63 adult males with confirmed urethral stricture and aged below 55 years old were enrolled in the study. Data obtained from non-invasive tests such as uroflowmetry (UF), ultrasound examination (USG), and questionnaires such as from The International Prostatic Symptom Score (IPSS), and The Patient-Reported Outcome Measure for Urethral Stricture Surgery (USS-PROM) were analyzed. Results Among all analyzed non-invasive tests, bladder wall thickness (BWT) showed the highest correlation with the degree of urethral occlusion described as percentage of preserved urethral lumen (r = -0.70; p <0.0001). UF variables presented medium degree of correlation, with maximum flow rate (Qmax) as the best parameter (p = 0.45; p = 0.0005). Results from both questionnaires did not show any correlation with the severity of the urethral stricture. Multiple linear regression analysis showed that only BWT was an independent predictor in detection degree of urethral occlusion. Conclusions UF and USG seem to be useful additional diagnostic tools in assessment severity of urethral occlusion in men suffering from anterior urethral stricture. Among them, USG had the highest correlation with degree of urethral occlusion.

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“…Literature data show good reliability of urinary bladder ultrasound in children as far as bladder volume measurement is concerned. Given the variability in bladder wall thickness, a standardized methodology is desirable to increase its reliability [21].…”

Section: How To Clinically Orientate Towards a Correct Luts Diagnosismentioning

confidence: 99%

From Clinical Scenarios to the Management of Lower Urinary Tract Symptoms in Children: A Focus for the General Pediatrician

et al. 2023

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Lower urinary tract symptoms (LUTS) are a relevant problem in the pediatric population, having a very high prevalence. Diurnal incontinence and nocturnal enuresis are surely the most frequent symptoms, presenting, respectively, in up to 30% of school-age children and up to 10% of children between 6 and 7 years. Stypsis is the most common comorbidity, and it must be considered in the management of LUTS; indeed, the treatment of constipation is curative in most cases for both incontinence and enuresis. The presence or absence of diurnal symptoms in nocturnal enuresis and urgency in diurnal incontinence helps in the differential diagnosis. Urotherapy is always the first-line treatment, while oxybutynin and desmopressin (where appropriate) may help if the first-line treatment is unsuccessful. It is essential to identify conditions that are potentially dangerous for kidney and urinary tract well-being, for which LUTS can be the first manifestation. Starting from a series of clinical scenarios, we will underline the diagnostic clues behind LUTS in children and we will summarize clinical and surgical approaches for the proper management of these conditions.

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Interrater reliability of bladder ultrasound measurements in children

Cited by 8 publications

References 17 publications

Evaluation of urinary system ultrasonography, uroflowmetry and voiding diary results in children with daytime urinary incontinence

Evaluation of urinary system ultrasonography, uroflowmetry and voiding diary results in children with daytime urinary incontinence

Evaluation of non-invasive tests as diagnostic tools in assessment of bladder outlet obstruction severity in men with anterior urethral stricture

From Clinical Scenarios to the Management of Lower Urinary Tract Symptoms in Children: A Focus for the General Pediatrician

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