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Increased bladder wall thickness in diabetic and nondiabetic women with overactive bladder.

Uzun H, Ogullar S, Sahin SB, Zorba OÜ, Akça G, Sümer F, Güney UM, Balık G - Int Neurourol J (2013)

Bottom Line: The diabetic (third group) and nondiabetic (second group) women with OAB had significantly greater bladder wall thickness at the anterior bladder wall than did the controls.However, the difference was not significant between the diabetic (third group) and the nondiabetic (second group) women with OAB.Additionally, the difference in bladder wall thickness between diabetic women with (third group) and without (fourth group) OAB was not significant.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Recep Tayyip Erdoğan University School of Medicine, Rize, Turkey.

ABSTRACT

Purpose: Bladder wall thickness has been reported to be associated with overactive bladder (OAB) in women. Diabetic women have an increased risk for OAB syndrome and may have an increased risk for bladder wall thickness.

Methods: A total of 235 female patients aged 40 to 75 years were categorized into four groups. The first group consisted of women free of urgency or urge urinary incontinence. The second group included nondiabetic women with idiopathic OAB. The third group consisted of women with diabetes and clinical OAB, and women with diabetes but without OAB constituted the fourth group. Bladder wall thickness at the anterior wall was measured by ultrasound by the suprapubic approach with bladder filling over 250 mL.

Results: The diabetic (third group) and nondiabetic (second group) women with OAB had significantly greater bladder wall thickness at the anterior bladder wall than did the controls. However, the difference was not significant between the diabetic (third group) and the nondiabetic (second group) women with OAB. Women with diabetes but without OAB (fourth group) had greater bladder wall thickness than did the controls but this difference was not significant. Additionally, the difference in bladder wall thickness between diabetic women with (third group) and without (fourth group) OAB was not significant.

Conclusions: This is the first study to show that bladder wall thickness is increased in diabetic women with and without OAB. Additionally, nondiabetic women with OAB had increased bladder wall thickness. Further studies may provide additional information for diabetic and nondiabetic women with OAB, in whom the etiopathogenesis of the disease may be similar.

No MeSH data available.


Related in: MedlinePlus

Measurement of bladder wall thickness at the anterior wall with bladder filling over 250 mL.
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Figure 1: Measurement of bladder wall thickness at the anterior wall with bladder filling over 250 mL.

Mentions: All ultrasound measurements were performed by the same radiologist using the Toshiba, Xario (Toshiba, Tokyo, Japan) with the abdominal 7.5 Mhz probe PVT375BT and with the patient in a supine position. The radiologist was blinded to the patient's lower urinary tract symptoms during the ultrasound examination. The measurement was performed by applying the ultrasound probe suprapubically without pressure. All measurements were enlarged five-fold with the bladder wall being measured perpendicular to the luminal surface of the bladder in the anterior bladder wall (Fig. 1).


Increased bladder wall thickness in diabetic and nondiabetic women with overactive bladder.

Uzun H, Ogullar S, Sahin SB, Zorba OÜ, Akça G, Sümer F, Güney UM, Balık G - Int Neurourol J (2013)

Measurement of bladder wall thickness at the anterior wall with bladder filling over 250 mL.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3713244&req=5

Figure 1: Measurement of bladder wall thickness at the anterior wall with bladder filling over 250 mL.
Mentions: All ultrasound measurements were performed by the same radiologist using the Toshiba, Xario (Toshiba, Tokyo, Japan) with the abdominal 7.5 Mhz probe PVT375BT and with the patient in a supine position. The radiologist was blinded to the patient's lower urinary tract symptoms during the ultrasound examination. The measurement was performed by applying the ultrasound probe suprapubically without pressure. All measurements were enlarged five-fold with the bladder wall being measured perpendicular to the luminal surface of the bladder in the anterior bladder wall (Fig. 1).

Bottom Line: The diabetic (third group) and nondiabetic (second group) women with OAB had significantly greater bladder wall thickness at the anterior bladder wall than did the controls.However, the difference was not significant between the diabetic (third group) and the nondiabetic (second group) women with OAB.Additionally, the difference in bladder wall thickness between diabetic women with (third group) and without (fourth group) OAB was not significant.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Recep Tayyip Erdoğan University School of Medicine, Rize, Turkey.

ABSTRACT

Purpose: Bladder wall thickness has been reported to be associated with overactive bladder (OAB) in women. Diabetic women have an increased risk for OAB syndrome and may have an increased risk for bladder wall thickness.

Methods: A total of 235 female patients aged 40 to 75 years were categorized into four groups. The first group consisted of women free of urgency or urge urinary incontinence. The second group included nondiabetic women with idiopathic OAB. The third group consisted of women with diabetes and clinical OAB, and women with diabetes but without OAB constituted the fourth group. Bladder wall thickness at the anterior wall was measured by ultrasound by the suprapubic approach with bladder filling over 250 mL.

Results: The diabetic (third group) and nondiabetic (second group) women with OAB had significantly greater bladder wall thickness at the anterior bladder wall than did the controls. However, the difference was not significant between the diabetic (third group) and the nondiabetic (second group) women with OAB. Women with diabetes but without OAB (fourth group) had greater bladder wall thickness than did the controls but this difference was not significant. Additionally, the difference in bladder wall thickness between diabetic women with (third group) and without (fourth group) OAB was not significant.

Conclusions: This is the first study to show that bladder wall thickness is increased in diabetic women with and without OAB. Additionally, nondiabetic women with OAB had increased bladder wall thickness. Further studies may provide additional information for diabetic and nondiabetic women with OAB, in whom the etiopathogenesis of the disease may be similar.

No MeSH data available.


Related in: MedlinePlus