Differences in bladder neck angles between female patients with overactive bladders and healthy peers

Submitted: January 18, 2024
Accepted: February 15, 2024
Published: June 27, 2024
Abstract Views: 197
PDF: 31
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Aim: The aim of this study was to compare the differences between angles of bladder neck in girls with overactive bladder and those in healthy ones using transabdominal ultrasonography.
Materials and Methods: This study consists of 28 girls complicated with overactive bladder (Group I) and 40 healthy girls (Group II). The anteroposterior vesical wall angle (APVA), urethroposterior vesical wall angle (UPVA), urethroanterior vesical wall angle (UAVA), thickness of bladder mucosa, distance of urethral orifices, and distance between ureter and urethra orifice were measured in supine position using transabdominal ultrasonography. The results were compared between the two groups.
Results: UAVA in Group I was higher than Group II (135.2 ± 12.2 mm vs. 117.4 ± 14.0 mm; p = 0.009). UPVA was smaller in Group I than Group II (114.6 ± 19.5 mm vs. 135.3 ± 16.5 mm; p = 0.014). The distance between the ureteral orifices was 31.8 ± 8.5 mm in Group I and 17.0 ± 4.1 mm in Group II (p < 0.001). There was no statistically significant difference between groups in terms of APVA, bladder mucosa thickness, and distance between ureter and urethra orifice (p > 0.05).
Conclusion: Bladder neck dynamics may play an important role in overactive bladder pathophysiology due to differences in UPVA, UAV, and location of ureteral orifices in this patient population.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Drake MJ. Fundamentals of terminology in lower urinary tract function. Neurourol Urodyn 2018; 37:13-19. DOI: https://doi.org/10.1002/nau.23768
Chen LC, Kuo HC. Pathophysiology of refractory overactive bladder. Lower urinary tract symptoms 2019; 11:177-181. DOI: https://doi.org/10.1111/luts.12262
Sugaya K, Nishijima S, Oda M, et al. Transabdominal vesical sonography of urethral syndrome and stress incontinence. Int J Urol; 2003: 10:36-42. DOI: https://doi.org/10.1046/j.1442-2042.2003.00556.x
Tafuro L, Montaldo P, Iervolino LR, et al. Ultrasonographic bladder measurements can replace urodynamic study for the diagnosis of non-monosymptomatic nocturnal enuresis. BJU Int. 2010; 105:108-111. DOI: https://doi.org/10.1111/j.1464-410X.2009.08735.x
Lo TS, Ng KL, Hsieh WC, et al. Ultrasonography and clinical outcomes following anti-incontinence procedures (Solyx™ tape): a 3-year post-operative review. Int Urogynecol J. 2022; 33:2749-2759. DOI: https://doi.org/10.1007/s00192-021-04965-x
Sugaya K, Nishijima S, Oda M, et al. Ultrasonographic changes of the female bladder neck during development. Int J Urol. 2002; 9:668-671. DOI: https://doi.org/10.1046/j.1442-2042.2002.00541.x
Fotter R, Riccabona M. Functional disorders of the lower urinary tract in children. Radiologe. 2005; 45:1085-1091. DOI: https://doi.org/10.1007/s00117-005-1246-6
Goessaert AS, Schoenaers B, Opdenakker O, et al. Long-term followup of children with nocturnal enuresis: increased frequency of nocturia in adulthood. J Urol. 2014; 191:1866-1870. DOI: https://doi.org/10.1016/j.juro.2013.12.051
Song QX, Wang L, Cheng X, et al. The clinical features and predictive factors of nocturnal enuresis in adult men. BJU Int. 2020;126:472-480. DOI: https://doi.org/10.1111/bju.15126

How to Cite

Yoldas, M., & Keskin, M. Z. (2024). Differences in bladder neck angles between female patients with overactive bladders and healthy peers. Archivio Italiano Di Urologia E Andrologia, 96(2). https://doi.org/10.4081/aiua.2024.12294