OBJECTIVE: To evaluate urinary bladder wall thickness (BWT) assessed by ultrasound as a diagnostic tool for cystitis cystica.
PATIENTS AND METHODS: This was a 9-year prospective study comprising 120 prepubertal girls. Sixty subjects of whom half underwent cystoscopy represented cases while the other 60 (those with a single urinary tract infection and healthy subjects) represented controls.
RESULTS: Based on receiver operating characteristics (ROC) analysis, BWT discriminated very well between cases and controls with area under the ROC curve close to 1.0. At the optimum cut-off defined at 3.9 mm, negative predictive value (NPV) was 100% leaving no probability of cystic cystitis with BWT < 3.9 mm. Positive predictive value (PPV) was also very high (95.2%), indicating only around 4.82% probability of no cystic cystitis in patients with BWT values ≥3.9 mm. BWT could also distinguish between healthy subjects and those with a cured single urinary tract infection, although discriminatory properties were moderate (area under ROC 86.7%, PPV 78.8%, NPV 85.2%).
CONCLUSION: Ultrasound mucosal bladder wall measurement is a non-invasive, simple and quite reliable method in diagnosis of cystitis cystica in prepubertal girls with recurrent urinary tract infections.
Written by:
Milošević D, Trkulja V, Turudić D, Batinić D, Spajić B, Tešović G. Are you the author?
Department of Pediatrics, Zagreb University Hospital Centre, University of Zagreb, School of Medicine, Kišpatićeva 12, HR-10000 Zagreb, Croatia.
Reference: J Pediatr Urol. 2013 May 29. pii: S1477-5131(13)00114-9.
doi: 10.1016/j.jpurol.2013.04.019
PubMed Abstract
PMID: 23725853
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