Ultrasonographic Measurement of Bladder Wall Thickness as a Risk Factor for Upper Urinary Tract Deterioration in Children With Myelodysplasia

Tanaka, Hiroshi; Matsuda, Masahisa; Moriya, Kyoji; Mitsui, Takahiko; Kitta, Takeya; Nonomura, Katsuya

doi:10.1016/j.juro.2008.03.062

Cited by 52 publications

(31 citation statements)

References 17 publications

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“…However, the bladder volume at which these measurements took place was not well-defined. 13 When bladder volumes were more accurately defined, another study revealed that bladder wall thickness measured at 50% maximum cystometric capacity was significantly increased in patients with bladder trabeculation. In contrast, bladder wall thickness failed to correlate with any of the other unfavorable video urodynamic findings as defined by decreased bladder compliance, leak point pressure .40 cm of H 2 O, detrusor overactivity, or vesicoureteral reflux.…”

Section: Discussionmentioning

confidence: 99%

Bladder Function After Fetal Surgery for Myelomeningocele

Brock¹,

et al. 2015

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, for the MOMS Investigators abstract BACKGROUND: A substudy of the Management of Myelomeningocele Study evaluating urological outcomes was conducted.METHODS: Pregnant women diagnosed with fetal myelomeningocele were randomly assigned to either prenatal or standard postnatal surgical repair. The substudy included patients randomly assigned after April 18, 2005. The primary outcome was defined in their children as death or the need for clean intermittent catheterization (CIC) by 30 months of age characterized by prespecified criteria. Secondary outcomes included bladder and kidney abnormalities observed by urodynamics and renal/bladder ultrasound at 12 and 30 months, which were analyzed as repeated measures. WHAT'S KNOWN ON THIS SUBJECT: Urologic outcomes of prenatal myelomeningocele closure have previously been reported. This study, however, represents a large, prospectively followed cohort of these patients and presents detailed findings of urologic outcomes. To our knowledge, this is the largest study of this type. WHAT THIS STUDY ADDS:Our study is the only trial to compare urologic outcomes in children with myelomeningocele having undergone prenatal closure with those who had postnatal repair in a prospective and systematic manner. We report our findings at 12 and 30 months. Dr Brock participated in the conception of the study design and protocol development, and contributed to critical aspects of the conduct of this research including monitoring study implementation, progress, and data quality; promotion of patient recruitment; acquisition of data; supervision of clinical centers; and data analysis. Dr Brock provided significant intellectual contribution to the drafting and revision of this manuscript with regard to scientific content and form; Drs Carr and Adzick participated in study design and protocol development, and contributed to critical aspects of the conduct of this research including assessment of patient recruitment; monitoring center performance; oversight of data quality; and evaluation and analysis of data. Dr Carr provided significant intellectual contribution to the drafting and revision of this manuscript with regard to scientific content and form;

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Section: Discussionmentioning

confidence: 99%

Bladder Function After Fetal Surgery for Myelomeningocele

Brock¹,

et al. 2015

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“…[13][14][15][16][17] Bladder wall hypertrophy is caused by thickening of the detrusor. 18 It was hypothesized that detrusor wall thickness (DWT) or bladder wall thickness (BWT) reflects the workload of the bladder similar to the heart, in which the cardiac wall thickens in patients affected by arterial hypertension or cardiac valve stenosis.…”

Section: Introductionmentioning

confidence: 99%

“…26,27 Studies on women with detrusor overactivity showed that antimuscarinic drugs can also reduce BWT quickly. 28,29 Children with myelomeningoceles and an unfavorable urodynamic pattern have increased BWT; 17 however, children with sufficient treatment and regular follow-up investigations have DWTs similar to healthy controls. 30 This information might be useful to understand the pathophysiology of the disease, identify treatment responders or non-responders even before treatment begin, or monitor treatment.…”

Section: Introductionmentioning

confidence: 99%

International consultation on incontinence‐research society (ICI‐RS) report on non‐invasive urodynamics: The need of standardization of ultrasound bladder and detrusor wall thickness measurements to quantify bladder wall hypertrophy

Oelke

2010

Neurourology and Urodynamics

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For quality control, all future reports should provide information about frequency of the ultrasound probe, bladder filling volume at measurement, if BWT, DWT, or UEBW was measured, enlargement factor of the ultrasound image, and one ultrasound image with marker positioning. The ICI-RS intends to found a standardization committee that will initiate and judge studies on ultrasonic bladder wall measurements to clarify the most suitable, most accurate, and least invasive measurement technique.

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“…Tanaka et al (23) showed that upper system involvement was more prominent in children with urodynamical risk factors and a bladder wall thickness of more than 3.3 mm (23). In our study, we examined 39 patients with a diagnosis of neurogenic bladder.…”

Section: Discussionmentioning

confidence: 90%

Alt üriner sistem işlev bozukluğu bulunan çocuklarda ürodinami ve ultrasonografi bulgularının karşılaştırılması

Kocaoğlu¹,

Adaletli²,

Kuruğoğlu³

et al. 2011

tpa

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Ultrasonographic Measurement of Bladder Wall Thickness as a Risk Factor for Upper Urinary Tract Deterioration in Children With Myelodysplasia

Abstract: Ultrasonographic assessment of bladder wall thickness is a sensitive screening tool for the diagnosis of urodynamic risk factors for upper urinary tract deterioration in children with myelodysplasia.

Cited by 52 publications

References 17 publications

Bladder Function After Fetal Surgery for Myelomeningocele

Bladder Function After Fetal Surgery for Myelomeningocele

International consultation on incontinence‐research society (ICI‐RS) report on non‐invasive urodynamics: The need of standardization of ultrasound bladder and detrusor wall thickness measurements to quantify bladder wall hypertrophy

Alt üriner sistem işlev bozukluğu bulunan çocuklarda ürodinami ve ultrasonografi bulgularının karşılaştırılması

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