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

Ultrasound measurement of detrusor wall thickness in healthy adults

“…DWT was 1.4 mm in healthy men and 1.2 mm in healthy women. The results of our study are in line with those that were published earlier: in healthy children between 0 and 19 years of age, DWT varied between 1.2 mm [Cvitkovic-Kuzmic et al, 2001], 1.3 mm [Cvitkovic-Kuzmic et al, 2002], 1.55 mm [Jequier and Rousseau, 1987], and 1.38^1.63 mm [Yamazaki et al, 2001]. In our study, all measurements of DWT in healthy individuals were 1.6 mm.…”

“…Schoor et al [1994] ¢rst demonstrated in rabbits that bladder wall thickness can be measured with an ultrasound device accurately. Later, other study groups used ultrasound technology in men with BPH [Kojima et al, 1996[Kojima et al, , 1997Manieri et al, 1998;Hakenberg et al, 2000;Oelke et al, 2002] and in children with non-neurogenic bladder dysfunction [Cvitkovic-Kuzmic et al, 2002] to prove thickening of the bladder wall due to BOO as well as in women to discriminate between stress and urge urinary incontinence [Khullar et al, 1994[Khullar et al, , 1996. Until now, only ¢ve studies have investigated bladder or DWT in healthy children [Jequier and Rousseau, 1987;Cvitkovic-Kuzmic et al, 2001;Mˇller et al, 2001;Yamazaki et al, 2001] or healthy adults [Hakenberg et al, 2000].…”

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

“…Other ulstrasonographic findings of an excessively active bladder include bladder diverticle, small bladder capacity and presence of residual urine after urination (2). A bladder wall thickness of more than 3-4 mm in thepresence of urine of 50% of the predicted bladder's capacity should arise suspicion of hypersensitivity of the detrusor muscle (19,20).…”

Diagnostik der neurogenen Blasenfunktionsstörung

“…Ein HWI bei Querschnittslähmung ist keine Krankheit per se, sondern Folge der gestörten Blasenfunktion/der Harnableitung bzw. des Managements [23,26]. Prinzipiell ist zu empfehlen, eine Uroflowmetrie mehrfach durchzuführen, um die Ergebnisse reproduzierbar und sinnvoll auswertbar zu machen.…”