Application of urodynamics combined with contrast‐enhanced ultrasound in evaluation of the urinary tract in patients with low bladder compliance and vesicoureteric reflux who underwent bladder augmentation alone
Abstract We assessed the use of common urodynamics (CUD) combined with contrast‐enhanced ultrasound (CEUS) to investigate the efficacy and durability of sigmoid cystoplasty alone in patients with low bladder compliance associated with vesicoureteric reflux (VUR). In this study, we recruited 25 patie...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-08-01
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| Series: | Kaohsiung Journal of Medical Sciences |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/kjm2.12561 |
| _version_ | 1811338723639427072 |
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| author | Han‐Chao Zhang Xin Ye Yue Yang Zheng‐Dao Liu Ye‐Qiong Gong Jin Yang Guo‐Biao Liang |
| author_facet | Han‐Chao Zhang Xin Ye Yue Yang Zheng‐Dao Liu Ye‐Qiong Gong Jin Yang Guo‐Biao Liang |
| author_sort | Han‐Chao Zhang |
| collection | DOAJ |
| description | Abstract We assessed the use of common urodynamics (CUD) combined with contrast‐enhanced ultrasound (CEUS) to investigate the efficacy and durability of sigmoid cystoplasty alone in patients with low bladder compliance associated with vesicoureteric reflux (VUR). In this study, we recruited 25 patients with low bladder compliance and VUR who underwent bladder augmentation without antireflux surgery at our institutions between June 2017 and June 2021. The bladder condition and VUR grade were assessed preoperatively and postoperatively via CUD combined with CEUS. The mean follow‐up period was 2.6 years. CUD showed significant improvement in bladder capacity and compliance and a decrease in intravesical pressure after sigmoid cystoplasty. CEUS demonstrated resolution of VUR compared with preoperative assessment. Of the 25 patients who had various degrees of reflux, VUR was eliminated in 18 patients and reduced to a lower grade in the remaining seven patients. CUD combined with CEUS is accurate and safe. They are invaluable and reliable tools for morphological and functional evaluations of the entire urinary tract in patients with low bladder compliance and VUR. |
| first_indexed | 2024-04-13T18:15:22Z |
| format | Article |
| id | doaj.art-a499ae36585c44b490ace51c14de2ccb |
| institution | Directory Open Access Journal |
| issn | 1607-551X 2410-8650 |
| language | English |
| last_indexed | 2024-04-13T18:15:22Z |
| publishDate | 2022-08-01 |
| publisher | Wiley |
| record_format | Article |
| series | Kaohsiung Journal of Medical Sciences |
| spelling | doaj.art-a499ae36585c44b490ace51c14de2ccb2022-12-22T02:35:42ZengWileyKaohsiung Journal of Medical Sciences1607-551X2410-86502022-08-0138879079510.1002/kjm2.12561Application of urodynamics combined with contrast‐enhanced ultrasound in evaluation of the urinary tract in patients with low bladder compliance and vesicoureteric reflux who underwent bladder augmentation aloneHan‐Chao Zhang0Xin Ye1Yue Yang2Zheng‐Dao Liu3Ye‐Qiong Gong4Jin Yang5Guo‐Biao Liang6Department of Urology Affiliated Hospital and Clinical Medical College of Chengdu University Chengdu Sichuan ChinaDepartment of Urology Institute of Urology, West China Hospital of Sichuan University Chengdu ChinaDepartment of Urology Affiliated Hospital and Clinical Medical College of Chengdu University Chengdu Sichuan ChinaDepartment of Urology Affiliated Hospital of Zunyi Medical University Zunyi Guizhou ChinaDepartment of Ultrasound Affiliated Hospital and Clinical Medical College of Chengdu University Chengdu Sichuan ChinaDepartment of Urology Affiliated Hospital and Clinical Medical College of Chengdu University Chengdu Sichuan ChinaDepartment of Urology Affiliated Hospital of Zunyi Medical University Zunyi Guizhou ChinaAbstract We assessed the use of common urodynamics (CUD) combined with contrast‐enhanced ultrasound (CEUS) to investigate the efficacy and durability of sigmoid cystoplasty alone in patients with low bladder compliance associated with vesicoureteric reflux (VUR). In this study, we recruited 25 patients with low bladder compliance and VUR who underwent bladder augmentation without antireflux surgery at our institutions between June 2017 and June 2021. The bladder condition and VUR grade were assessed preoperatively and postoperatively via CUD combined with CEUS. The mean follow‐up period was 2.6 years. CUD showed significant improvement in bladder capacity and compliance and a decrease in intravesical pressure after sigmoid cystoplasty. CEUS demonstrated resolution of VUR compared with preoperative assessment. Of the 25 patients who had various degrees of reflux, VUR was eliminated in 18 patients and reduced to a lower grade in the remaining seven patients. CUD combined with CEUS is accurate and safe. They are invaluable and reliable tools for morphological and functional evaluations of the entire urinary tract in patients with low bladder compliance and VUR.https://doi.org/10.1002/kjm2.12561bladder augmentationcontrast‐enhanced ultrasoundlow compliance bladderurodynamicsvesicoureteral reflux |
| spellingShingle | Han‐Chao Zhang Xin Ye Yue Yang Zheng‐Dao Liu Ye‐Qiong Gong Jin Yang Guo‐Biao Liang Application of urodynamics combined with contrast‐enhanced ultrasound in evaluation of the urinary tract in patients with low bladder compliance and vesicoureteric reflux who underwent bladder augmentation alone Kaohsiung Journal of Medical Sciences bladder augmentation contrast‐enhanced ultrasound low compliance bladder urodynamics vesicoureteral reflux |
| title | Application of urodynamics combined with contrast‐enhanced ultrasound in evaluation of the urinary tract in patients with low bladder compliance and vesicoureteric reflux who underwent bladder augmentation alone |
| title_full | Application of urodynamics combined with contrast‐enhanced ultrasound in evaluation of the urinary tract in patients with low bladder compliance and vesicoureteric reflux who underwent bladder augmentation alone |
| title_fullStr | Application of urodynamics combined with contrast‐enhanced ultrasound in evaluation of the urinary tract in patients with low bladder compliance and vesicoureteric reflux who underwent bladder augmentation alone |
| title_full_unstemmed | Application of urodynamics combined with contrast‐enhanced ultrasound in evaluation of the urinary tract in patients with low bladder compliance and vesicoureteric reflux who underwent bladder augmentation alone |
| title_short | Application of urodynamics combined with contrast‐enhanced ultrasound in evaluation of the urinary tract in patients with low bladder compliance and vesicoureteric reflux who underwent bladder augmentation alone |
| title_sort | application of urodynamics combined with contrast enhanced ultrasound in evaluation of the urinary tract in patients with low bladder compliance and vesicoureteric reflux who underwent bladder augmentation alone |
| topic | bladder augmentation contrast‐enhanced ultrasound low compliance bladder urodynamics vesicoureteral reflux |
| url | https://doi.org/10.1002/kjm2.12561 |
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