VESICAL ULTRASONOGRAPHY AND INTERNAL EXAMINATION OF FEMALE PATIENTS WITH URETHRAL SYNDROME
| Autor: | Naotake Shimoda, Taisei Tsukada, Kimio Sugaya, Osamu Nishizawa, Seigi Tsuchida, Yukiko Wakayama, Hiromitsu Noto, Takeo Kohama |
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| Rok vydání: | 1992 |
| Předmět: |
Adult
medicine.medical_specialty Urethral syndrome Urology Urinary Bladder Trigonitis Asymptomatic Urethra Cystitis medicine Humans Aged Ultrasonography Aged 80 and over Urinary bladder medicine.diagnostic_test business.industry Urination disorder Cystoscopy Middle Aged Urination Disorders medicine.disease Neck of urinary bladder medicine.anatomical_structure Female Radiology medicine.symptom business |
| Zdroj: | The Japanese Journal of Urology. 83:1094-1100 |
| ISSN: | 1884-7110 0021-5287 |
| Popis: | Transabdominal ultrasonography of the bladder and internal examination were performed in 80 female patients without pyuria. They were divided into 3 groups: urethral syndrome with trigonitis (49 cases), asymptomatic trigonitis (16 cases) and normal bladder (15 cases) by cystoscopy. Ultrasonography of trigonitis with or without symptoms showed focal dilation of the submucosal low echo zone and mucosal irregularity around the bladder neck. On the sagittal view, the thicknesses from the surface of mucosa to that of muscle layer within 2 cm from the bladder neck were 4 +/- 1 mm (mean +/- standard deviation) in the group with urethral syndrome and in that with asymptomatic trigonitis, and 3 +/- 1 mm in the normal bladder group. Mucosa of the trigonitis with or without symptom is patients with significantly thicker than that of those with normal bladder (p less than 0.01). On internal examination, tenderness at the upper frontal wall of the vagina was present in 10 of 11 cases (91%) with urethral syndrome, in 2 of 8 cases (25%) with asymptomatic trigonitis and in one of 9 cases (11%) with normal bladder. There was a significant difference (p less than 0.005) between the degree of inflammation and the number of cases with tenderness at the frontal wall of the vagina. From these results, transabdominal ultrasonographic measurement of mucosal thickness around the bladder neck and internal examination for tenderness at the frontal wall of vagina are thought to be useful methods for diagnosis and follow-up of urethral syndrome.(ABSTRACT TRUNCATED AT 250 WORDS) |
| Databáze: | OpenAIRE |
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