The Diagnostic Value of Bladder-Wall Thickness and ARFI Elastography of Bladder Wall amongst Patients with BPH

Year 2022, Volume: 14 Issue: 1, 161 - 167, 14.03.2022

Bircan Alan , Goya Cemil , Mazhar Utangaç , Abdurrahim Dusak

Abstract

Objective: The present study identified bladder-wall thickness and, through the use of
ARFI elastography, bladder-wall elasticity values amongst patients with benign prostate
hyperplasia (BPH), then examined their relationship with the disease diagnosis and
progression.
Methods: The study included 60 patients with BPH (patient group) and 50 healthy
volunteers (control group). All members of the patient and control groups were measured
for bladder-wall thickness (BWT) and bladder-wall mean shear-wave velocity (BW mean
SWV) values, as well as for uroflowmetry parameters. The patient group was divided
into the sub-groups of mild-medium and severe BPH, according to the International
Prostate Symptom Score (IPSS). The patient and control groups and their sub-groups
were compared amongst themselves.
Results: Whilst the BPH group indicated a mean wall thickness of 6.3±2 mm (range: 3-
12 mm), the control group yielded a result of 2.8±0.7 mm (range: 2-5 mm), which led to
the conclusion that there was a significant difference between these groups (p<0.01). The
BWmeanSWV value was 1.39±0.5 m/s (range: 0.60-2.65 m/s) for the BPH group and
1.01±0.2 m/s (range: 0.60-1.50 m/s) for the control group, and this also indicated the
presence of a significant difference between the groups (p<0.01). According to the IPSS,
BWT was observed to be significantly higher in the severe sub-group when compared to
the mild-medium BPH group [(5.07±1 mm; range: 3-7 mm), (6.8±2 mm; range: 4-12
mm), p<0.01).
Conclusions: When compared to the control group, patients with BPH showed
significantly higher BWT and BWmeanSWV values; these two parameters may provide
an additional method in the diagnosis of bladder outlet obstruction secondary to BPH.
BWT, increasing in parallel with the severity of BPH, may be utilised in the follow-up
for BPH progression.

Keywords

Bladder-Wall Thickness, Bladder-Wall Shear-Wave Velocity, ARFI Elastography

Benin Prostat Hiperplazili Hastalarda Mesane Duvar Kalınlığı ve Mesane Duvar ARFI Elastografinin Tanı Değeri

Abstract

Amaç: Çalışmamızda benign prostat hiperplazili (BPH) hastalarda mesane duvar
kalınlığı ve ARFI elastografi yöntemi ile mesane duvarı elastisite değerlerini saptayıp,
hastalığın tanısı ve progresyonu ile ilişkisini araştırdık.
Gereç ve Yöntem: Çalışmaya 60 BPH’lı hasta (Hasta grubu) ile 50 sağlıklı gönüllü
(Kontrol grubu) dahil edildi. Hasta ve kontrol grubunun tamamında mesane duvar
kalınlığı (MDK), mesane duvarı MDmeanSWV değerleri ve uroflovmetre parametreleri
ölçüldü. Hasta grup; International Prostate Symptom Skoru’na (IPSS) göre hafif-orta ve
şiddetli BPH subgruplarına ayrıldı. Hasta–kontrol gurubu ve subgruplar kendi aralarında
karşılaştırıldı.
Bulgular: BPH’lı grup mesane duvar kalınlığı 6.3±2 mm (3-12 mm) iken kontrol
grubunda 2.8±0.7 mm (2-5 mm) olup her iki grup arasında anlamlı fark mevcuttu
(p<0.001). MDmeanSWV değeri BPH’lı grupta 1.39±0.5 m/s (0.60-2.65 m/s) iken,
kontrol grubunda 1.01±0.2 m/s(0.60-1.50) olup her iki grup arasında anlamlı fark
mevcuttu(p<0.001).
IPSS ye göre şiddetli BPH’lı grup, hafif-orta BPH grup ile karşılaştırıldığında MDK,
şiddetli subgrupta anlamlı şekilde daha yüksek bulundu [sırasıyla; 5.07±1 (3-7), 6.8±2 (4-
12), p<0.01].
Sonuç: Kontrol grubuna göre BPH’lı hastalarda MDK ile birlikte MDmeanSWV
elastografi değerleri belirgin yüksektir, bu iki parametre BPH’ya sekonder gelişen
mesane çıkış obstrüksiyon tanısında ilave bir yöntem olabilir. BPH şiddeti ile paralel artış
gösteren MDK, BPH progresyonunun takibinde kullanılabilir.

Keywords

Mesane duvarı kalınlığı, Mesane Duvarı Shear-Wave Velosites, ARFI Elastografi, Benign Prostat Hiperplazisi.

References

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