Ultrasound: a noninvasive screening test for detrusor instability
Article first published online: 19 AUG 2005
DOI: 10.1111/j.1471-0528.1996.tb09910.x
Issue
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BJOG: An International Journal of Obstetrics & Gynaecology
Volume 103, Issue 9, pages 904–908, September 1996
Additional Information
How to Cite
Khullar, V., Cardozo, L. D., Salvatore, S. and Hill, S. (1996), Ultrasound: a noninvasive screening test for detrusor instability. BJOG: An International Journal of Obstetrics & Gynaecology, 103: 904–908. doi: 10.1111/j.1471-0528.1996.tb09910.x
Publication History
- Issue published online: 19 AUG 2005
- Article first published online: 19 AUG 2005
- Received 31 August 1995 Returned for Revision 29 September 1995 Revised Manuscript Received 3 January 1996 Accepted 23 February 1996
- Abstract
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Objective To determine whether transvaginal ultrasound measurement of bladder wall thickness can be used as a screening test for detrusor instability in women with urinary symptoms.
Design A blinded prospective study.
Setting A London teaching hospital.
Participants One hundred and eighty-four symptomatic women presenting to a urodynamic clinic.
Main outcome measure The detection of detrusor instability by means of videocystourethrography (VCU) and ambulatory urodynamics in women with a mean bladder wall thickness of greater than 5 mm measured by transvaginal ultrasound.
Results One hundred and eight women had a mean bladder wall thickness of greater than 5 mm. Ninety-four percent (102) of these women had detrusor instability either when undergoing VCU or ambulatory urodynamics. Seventeen women had a bladder wall thickness of less than 3.5 mm of whom three were found to have detrusor instability on VCU.
Conclusion The measurement of a mean bladder wall thickness greater than 5 mm with transvaginal ultrasound is a sensitive screening method for diagnosing detrusor instability in symptomatic women without outflow obstruction.

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