MEASUREMENT OF DETRUSSOR MUSCLE THICKNESS WITH ULTRASONOGRAPHY: COMPARISON BETWEEN CHILDREN WITH LOWER URINARY TRACT DYSFUNCTION AND HEALTHY SCHOOL AGE CHILDREN


Uluocak N., Parlaktas B. S., Erdemir F., ACU B., Erkorkmaz U.

TURKISH JOURNAL OF UROLOGY, cilt.34, sa.1, ss.51-55, 2008 (ESCI) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 34 Sayı: 1
  • Basım Tarihi: 2008
  • Dergi Adı: TURKISH JOURNAL OF UROLOGY
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus
  • Sayfa Sayıları: ss.51-55
  • Eskişehir Osmangazi Üniversitesi Adresli: Hayır

Özet

Introduction: The aim of this study was to compare detrusor wall thickness in children with lower urinary tract dysfunction and normal children. Materials and Methods: The study was performed between February 2003 and February 2007. A total of 288 children were enrolled to the study. After a complete urologic examination, pelvic ultrasonography with a high frequency probe (7.5 mHz) was performed. Anterior, posterior, and lateral detrusor wall thicknesses of all children were examined by radiologist and noted. Patients were divided into two groups as; Group1 (n=44): children with lower urinary tract dysfunction, Group 2 (n=244): healthy school age children. Results: The mean age of the children in group 1 and group 2 were 9.50+/-2.99 (range 5 to 15) and 10.7+/-3.6 (range 7 to 15) years, respectively (p>0.05). The mean bladder capacity of the group 1 and group 2 was 198.95+/-56.61 (range 80 to 320) cc and 256 (range 215 to 390) cc, respectively. The relationship between bladder capacity and age was significant (r=0.568, p=0.0001) in group 2 but this relationship was not statistically significant for group 1 (p>0.05). Mean anterior, posterior and lateral wall detrusor thicknesses were 1.42+/-0.33 (range 0.8 to 2.8) mm, 1.57+/-0.36 (range 0.7 to 3.1) mm, and 1.49+/-0.32 (range 0.6 to 2.6) mm, in group 2, respectively. Mean anterior, posterior and lateral wall detrusor thicknesses were 1.73+/-0.52 (range 0.5 to 2.7) mm, 1.89+/-0.57 (range 1.1 to 2.7) mm, and 1.71+/-0.53 (range 0.6 to 3.2) mm, in group 1, respectively. The differences between these mean values of groups were statistically significant (p<0.001). Conclusion: High frequency ultrasonography is useful and delicate modality for measurement of bladder capacity and detrusor thickness. These values can be useful clinical parameter in the evaluation of bladder disorders.