BibTex format
@article{Khullar:1997,
author = {Khullar, V and Cardozo, L},
journal = {Contemporary Reviews in Obstetrics and Gynaecology},
pages = {129--135},
title = {The use of ultrasound in detrusor instability},
volume = {9},
year = {1997}
}
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RIS format (EndNote, RefMan)
TY - JOUR
AB - Detrusor instability is a major cause of lower urinary tract dysfunction. The etiology and symptoms associated with detrusor instability are outlined. The simple investigations such as midstream urine for culture and frequency/volume charts are described as well as the more complex procedures of uroflowometry and cystometry. Newer investigative tools such as ambulatory urodynamics are described and the value of this test for detrusor instability is discussed. Ultrasound has been used to measure postmicturition urinary residuals, pelvicalcyceal dilatation and imaging bladder diverticula associated with detrusor instability. Bladder wall thickness measurement can be used to diagnose detrusor instability. It has been found to have good intra- and interobserver reproducibility. Bladder wall thickness is measured transvaginally in the parasagittal plane after voiding. Bladder volumes greater than 50 ml cause bladder thinning. Ninety-four percent of women with a mean bladder wall thickness of greater than 5 mm have detrusor instability diagnosed with videocystourethrography or ambulatory urodynamics. Ultrasound measurement of urethral sphincter volume may be useful in the diagnosis of detrusor instability, as the urethral sphincter is larger in women diagnosed with detrusor instability. The overlap between urethral sphincter volume measurements of different urodynamic diagnostic groups is too great for it to be used as a diagnostic technique. Ultrasound shows potential in diagnosing and gaining insight in to the pathophysiology of detrusor instability.
AU - Khullar,V
AU - Cardozo,L
EP - 135
PY - 1997///
SN - 0953-9182
SP - 129
TI - The use of ultrasound in detrusor instability
T2 - Contemporary Reviews in Obstetrics and Gynaecology
VL - 9
ER -