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