jsmc-10073

Issues‎ > ‎Vol5n2‎ > ‎

URODYNAMIC STUDY OF PATIENTS WITH OVERACTIVE BLADDER AND ITS CORRELATION WITH BLADDER WALL THICKNESS AND BLADDER TRABECULATIONS

Ismaeel Hama Ameen *, Sarmad Khalid Tahir ** and Saywan Hayas Saeed **

* Department of Surgery, School of Medicine, Faculty of Medical Sciences, University of Sulaimani.

** Sulaimani Teaching Surgical Hospital, Directorate of Health, Sulaimani, Iraq.

Submitted: 24/11/2014; Accepted: 12/5/2015; Published 1/12/2015

DOI Link: https://doi.org/10.17656/jsmc.10073

ABSTRACT

Background

Overactive bladder syndrome (OAB) is a highly prevalent condition. Urodynamics have long been the only option, and still remain the gold standard, for examining people with OAB complaints and composing an appropriate treatment plan. Alternatives for this invasive, expensive, and time-consuming examination have been explored

Objectives

To review if bladder wall thickness (BWT) and bladder trabeculations could be a more objective and easier measurement that potentially could diagnose overactive bladder.

Patients and Methods

Twenty six patients with overactive bladder underwent an urodynamic study for assessing detrusor muscle activity in Department of Urology at Sulaimaniya Teaching Hospital, from July 2009 to October 2009. Further investigations were performed including ultrasonography of the bladder to determine mean bladder wall thickness and cystourethroscopy for detecting the grade of the bladder trabeculation.

Results

There is no significant correlation between mean bladder wall thickness and bladder trabculations with detrusor action analysis (in filling or voiding phase) of urodynamic study.

Conclusion

We cannot depend on increased mean bladder wall thickness or bladder trabeculations for diagnosis of overactive bladder without urodynamic study.

KEYWORDS

Overactive bladders (OAB), Urodynamic, mean bladder wall thickness, Bladder trabeculation.

References

1. Wein AJ, Kavouss LR, Novick AC, Partin AW, Peters CA. Capmbell-Walsh Urolog. 9th ed. Philadelphia, PA: Elsevier Saunders ; 2007. P. 58- 4.

2. Ellsworth PI. Overactive bladder- etiology, Diagnosis, and Impact. Medscape. 2008; Available from: http://emedicine.medscape.com/article/459502-overview.

3. Tanagho EA, McAninch JW. Smith’s General Urology.17th ed. New York: McGraw Hill; 2008. P. 455-456.

4. Paul Abrams. Urodynamics. 3rd ed. London: Springer-Verlag ; 2006. P. 67-72.

5. Cruz F, Heesakers J, Khullar V, Tubaro A. Bladder Wall Thickness in Overactive Bladder: Does It Have a Role? Europian Urology. 2009; 8(9): 711-784.

6. Lekskulchai O, Dietz HP. Detrusor wall thickness as a test for detrusor overactivity in women. Ultrsound Obstet Gynicol. 2008; 32: 535-539.

7. Robenson D, Anders K, Cardozo L, Bidmead J, Toozs-Hobson P, Khullar V. Can ultrasound replace ambulatory urodynamics when investigating women with irretative urinary symptoms? BJOG. 2002; 109: 145-148.

8. Chapple C, Turner- Warwick R. Bladder outflow obstruction in the male. In: Munday AR, Stephenson TP, Wein AJ, Editors. Urodynamics: principle, Practice and application. New York: Churchill Livingstone; 1994. P. 233-256.

9. Ezz EL Din K, DE Wildt MJ, Rosier PF, Wijkstm H, Debruyne FM, De La Rosette JJ. The correlation between urodynamic and cystoscopic findings in elderly men with voiding complaints. The Journal of Urology. 1996; 155: 1018 - 1022.

10. Panayi D, Khullar V, Fernando R, Hendricken C, Tekkis P. Is ultrasound bladder wall thickness a better objective measure than urodynamic for overactive bladder symptoms? 2009. Available at: http://www.urotoday.com/47/browse_categories/overactive_bladder/ics_2009

11. Yang JM, Huang WC. Bladder Wall Thickness. J Ultrasound Med. 2003; 22:77-782.

12. Solingo M, Khullar V, Salvatore S, Luppino G, Arcari V, Milani R. Overactive bladder definition and ultrasound measurement of Bladder wall thickness the right way without urodynamics. 2002. Available at: http://www.icsoffice.org/ publication/2002/pdf/001

13. Turner- Wamrick R, Whiteside C, worth PH, Milroy EJG, bates CB. A urodynamic view of the clinical problems associated with bladder neck dysfunction and its treatment by endoscopic incision and trans-trigonal posterior prostatectomy. Brit J Urol. 1973; 45: 44.

14. Elbadawi A, Yalla SV, Resnick NM. Structural basis of geriatric voiding dysfunction. IV. Bladder outlet obstruction. J Urol. 1993; 150: 1681-95.

15. Kdersen J T, Nordling J. Prostatism. II. The correlation between cysto-urethroscopic, cystometric and urodynamic findings. Scand J Urol Nephrol. 1980; 14(1): 23-7.