A grading system for evaluation of bladder trabeculation
作者全名："Wang, Xiao; Chen, Hong-song; Wang, Chong; Luo, Xing-guo; Wang, Yan-xi; Ye, Zi-han; Liu, Xing; Wei, Guang-hui"
作者地址："[Wang, Xiao; Chen, Hong-song; Wang, Chong; Luo, Xing-guo; Wang, Yan-xi; Ye, Zi-han; Liu, Xing; Wei, Guang-hui] Chongqing Med Univ, Natl Clin Res Ctr Child Hlth & Disorders, Key Lab Child Dev & Disorders, Dept Urol,Childrens Hosp,Minist Educ, Chongqing, Peoples R China; [Wang, Xiao; Chen, Hong-song; Wang, Chong; Luo, Xing-guo; Wang, Yan-xi; Ye, Zi-han; Liu, Xing; Wei, Guang-hui] China Int Sci & Technol Cooperat Base Child Dev &, Chongqing, Peoples R China; [Wang, Xiao; Chen, Hong-song; Wang, Chong; Luo, Xing-guo; Wang, Yan-xi; Ye, Zi-han; Liu, Xing; Wei, Guang-hui] Chongqing Med Univ, Childrens Hosp, Chongqing, Peoples R China; [Wang, Xiao; Chen, Hong-song; Wang, Chong; Luo, Xing-guo; Wang, Yan-xi; Ye, Zi-han; Liu, Xing; Wei, Guang-hui] Chongqing Key Lab Pediat, Chongqing, Peoples R China; [Wang, Xiao; Chen, Hong-song; Wang, Chong; Luo, Xing-guo; Wang, Yan-xi; Ye, Zi-han; Liu, Xing; Wei, Guang-hui] Chongqing Key Lab Children Urogenital Dev & Tissue, Chongqing, Peoples R China"
通信作者："Liu, X (通讯作者)，Chongqing Med Univ, Natl Clin Res Ctr Child Hlth & Disorders, Key Lab Child Dev & Disorders, Dept Urol,Childrens Hosp,Minist Educ, Chongqing, Peoples R China.; Liu, X (通讯作者)，China Int Sci & Technol Cooperat Base Child Dev &, Chongqing, Peoples R China.; Liu, X (通讯作者)，Chongqing Med Univ, Childrens Hosp, Chongqing, Peoples R China.; Liu, X (通讯作者)，Chongqing Key Lab Pediat, Chongqing, Peoples R China.; Liu, X (通讯作者)，Chongqing Key Lab Children Urogenital Dev & Tissue, Chongqing, Peoples R China."
来源：WORLD JOURNAL OF UROLOGY
ESI学科分类：CLINICAL MEDICINE
WOS号：WOS:001037110100001
JCR分区：Q2
影响因子：2.8
年份：2023
卷号：
期号：
开始页：
结束页：
文献类型：Article; Early Access
关键词：Urinary bladder; Lower urinary tract symptoms; Urethral obstruction; Neurogenic bladder; Diagnosis
摘要："PurposeTo establish a parameter-based grading system for evaluating bladder trabeculation (BT).Materials and methodsA retrospective analysis was conducted on children diagnosed with posterior urethral valve (PUV) or neurogenic bladder (NB) who underwent voiding cystourethrogram (VCUG), urodynamic testing, and urological ultrasonography between January 2016 and October 2022. Cases involving urologic surgery, secondary bladder pathology, and an interval of more than 12 months between examinations were excluded. A parameter named Bladder Dispersion (BD) was calculated through fluoroscopic images, and the grading system was developed as follows: BD < 40 (Grade 0), 40 & LE; BD < 60 (Grade 1), 60 & LE; BD < 90 (Grade 2), BD & GE; 90 (Grade 3). Grades 0-1 were classified as low-risk group, while grades 2-3 were classified as high-risk group. Analysis of variance, Kruskal-Wallis test, and Chi-square test were performed to compare urodynamic results and complications across different grades and groups.ResultsA total of 74 patients were eligible to participate, which included 46 boys (62.2%) and 28 girls (37.8%), the mean age was 75.18 & PLUSMN; 48.39 months. Among them, 11 (14.9%) were PUV, 50 (67.6%) were NB, and 13 (17.5%) were PUV and NB. Significant differences were observed in maximum detrusor pressure, post-void residual urine ratio, and compliance among grades 0-3. Severe hydronephrosis and histories of urinary tract infection were more prevalent in the high-risk group.ConclusionA reliable grading system with objective standards was proposed which could aid in the assessment of BT severity."
基金机构："Program for Youth Innovation in Future Medicine, Chongqing Medical University, Yuzhong, Chongqing, People's Republic of China"
基金资助正文："This work was supported by the Program for Youth Innovation in Future Medicine, Chongqing Medical University, Yuzhong, Chongqing, People's Republic of China."
