The impact of the bladder wall thickness on the outcome of the medical treatment using alpha-blocker of BPH patients with LUTS

Azab, Sherif; El-Sheikh, Mohamed

doi:10.3109/13685538.2014.967672

Cited by 14 publications

(3 citation statements)

References 17 publications

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“…They found statistically significantly greater improvement in these values in the group with BWT <5 mm. Therefore, it was emphasized that BWT could be evaluated in determining the response to medical treatment (11). In their study, Karaköse et al reported that BWT was significantly lower after alpha-blocker treatment.…”

Section: Discussionmentioning

confidence: 99%

Does bladder wall thickness have a place in the evaluation of male patients with lower urinary tract symptoms?

EKICI¹,

COBAN²,

Gül³

et al. 2022

New J Urol.

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Objective: To investigate whether bladder wall thickness (BWT) is associated with The International Prostatic Symptom Score (IPSS) and uroflowmetry parameters in male patients with lower urinary tract symptoms (LUTS). Material and Methods: Prostate volume, prostate specific antigen (PSA), post-void residual (PVR) urine volume, IPSS, maximum and average urinary flow rates ( Qmax, Qave), BWT and intravesical prostatic protrusion (IPP) grades of male patients who applied to the urology outpatient clinic with LUTS between June 2021 and January 2022 were recorded. .Patients were divided into 2 groups in terms of BWT (Group: 1 BWT < 5 mm; Group 2: BWT ≥ 5 mm). We compared IPSS, PVR, PSA, Qmax, Qave, prostat volume and IPP grades between two groups. Results: A total of 110 patients were included in the study (Group 1: n= 65, Group 2: n=45). Median(IQR) age, and median BWT values of the patients were 56.5(15) years, and 4.25(3.60) mm, respectively. PSA, prostate volume, total urine volume, Qmax, Qave, IPSS and IPP values were found to be statistically different, while age and PVR were similar between two groups. In addition, a strong correlation was found between BWT and IPSS- Qave, and a very strong correlation between BWT and Qmax. Conclusion: BWT is a simple sonographic measurement that can be used to estimate IPSS and uroflowmetry parameters in urology practice. Keywords: bladder wall thickness, lower urinary tract symptoms, ultrasonography

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Section: Discussionmentioning

confidence: 99%

Does bladder wall thickness have a place in the evaluation of male patients with lower urinary tract symptoms?

EKICI¹,

COBAN²,

Gül³

et al. 2022

New J Urol.

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show abstract

“…Several studies have evaluated the effects of pharmacologic treatment for BPO on BWT. Treatment with α‐blockers has been shown to significantly reduce BWT in various studies . De Nunzio et al evaluated the effect of dutasteride add‐on therapy in patients with 27 “BPH” already being treated with α‐blockers .…”

Section: When and Under Which Circumstances Is The Recovery Of The Blmentioning

confidence: 99%

“…Treatment with α-blockers has been shown to significantly reduce BWT in various studies. [37][38][39] De Nunzio et al 40 evaluated the effect of dutasteride add-on therapy in patients with 27 "BPH" already being treated with α-blockers. 40 After 24 weeks of treatment, they observed a significant reduction in DWT.…”

Section: Circumstances Is the Recovery Of The Bladder Possible After mentioning

confidence: 99%

Do functional changes occur in the bladder due to bladder outlet obstruction? ‐ ICI‐RS 2018

Bosch

Abrams

Averbeck

et al. 2019

Neurourology and Urodynamics

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Studies on bladder dysfunction (BD), more specifically functional‐urodynamic changes in the bladder as a result of bladder outlet obstruction (BOO) have been summarized for this TT. Based on available, but limited evidence from human studies a three‐stage model can be hypothesized to characterize BOO‐induced bladder remodeling: hypertrophy, compensation (increased detrusor contractility during the voiding phase, often in combination with filling phase detrusor overactivity) followed by the phase of decompensation [detrusor underactivity]. The time between the start of compensation and eventual decompensation seems to be determined by age of onset, severity, and type of obstruction and clinical mitigating factors such as vascular and metabolic problems. Understanding the relative contributions of these factors may allow the development of personalized timelines and probabilities for these obstructed patients.

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Surgery on the Benign Prostate

Pendse¹,

Feneley²

2017

Radiology and Follow‐up of Urologic Surgery

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The impact of the bladder wall thickness on the outcome of the medical treatment using alpha-blocker of BPH patients with LUTS

Abstract: BWT has positive correlation with the total IPSS, voiding symptoms subscores and storage symptoms subscores. The response to medical treatment is found statistically less in patients with BWT greater than 5 mm.

Cited by 14 publications

References 17 publications

Does bladder wall thickness have a place in the evaluation of male patients with lower urinary tract symptoms?

Does bladder wall thickness have a place in the evaluation of male patients with lower urinary tract symptoms?

Do functional changes occur in the bladder due to bladder outlet obstruction? ‐ ICI‐RS 2018

Surgery on the Benign Prostate

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