Systematic review of the accuracy of ultrasound as the method of measuring bladder wall thickness in the diagnosis of detrusor overactivity

Introduction and hypothesis A systematic review was carried out to study the hypothesis that bladder wall thickness (BWT) on ultrasound is accurate in diagnosing detrusor overactivity (DO). Methods Databases were searched from database inception to January 2009. Two reviewers independently selected...

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Bibliographic Details
Published in:International Urogynecology Journal 2010-08, Vol.21 (8), p.1019-1024
Main Authors: Latthe, P. M., Champaneria, R., Khan, K. S.
Format: Article
Language:English
Subjects:
Female
Gynecology
Humans
Medicine
Medicine & Public Health
Reproducibility of Results
Review
Sensitivity and Specificity
Ultrasonography
Urinary Bladder - diagnostic imaging
Urinary Bladder, Overactive - diagnostic imaging
Urodynamics
Urology
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Summary:Introduction and hypothesis A systematic review was carried out to study the hypothesis that bladder wall thickness (BWT) on ultrasound is accurate in diagnosing detrusor overactivity (DO). Methods Databases were searched from database inception to January 2009. Two reviewers independently selected articles and extracted data on study characteristics, quality and results. Results Five out of 190 screened studies were included. There were variations in the quality, methods of performing the ultrasound and urodynamics studies, and the format of reporting findings. BWT was more in women with DO than those with other types of incontinence in four out of five studies. Using a 5-mm cutoff (two studies), sensitivity varied between 40% and 84%, and specificity 78–89%. Conclusions There is lack of data to reliably estimate accuracy of BWT in DO.
ISSN:0937-3462
1433-3023
DOI:10.1007/s00192-010-1144-y