Differences in bladder neck angles between female patients with overactive bladders and healthy peers

• Published in: Archivio italiano di urologia, andrologia Vol. 96; no. 2; p. 12294
• Main Authors: Yoldas, Mehmet, Keskin, Mehmet Zeynel
• Format: Journal Article
• Language: English
• Published: Italy PAGEPress Publications 27-06-2024
• Subjects: Adolescent; bladder; Case-Control Studies; Child; Female; Humans; Overactive bladder; Ultrasonography; Urethra - anatomy & histology; Urethra - diagnostic imaging; Urinary Bladder - diagnostic imaging; Urinary Bladder, Overactive - physiopathology
• ISSN: 1124-3562; 2282-4197; 2282-4197
• DOI: 10.4081/aiua.2024.12294

The aim of this study was to compare the differences between angles of bladder neck in girls with overactive bladder and those in healthy ones using transabdominal ultrasonography.
This study consists of 28 girls complicated with overactive bladder (Group I) and 40 healthy girls (Group II). The anteroposterior vesical wall angle (APVA), urethroposterior vesical wall angle (UPVA), urethroanterior vesical wall angle (UAVA), thickness of bladder mucosa, distance of urethral orifices, and distance between ureter and urethra orifice were measured in supine position using transabdominal ultrasonography. The results were compared between the two groups.
UAVA in Group I was higher than Group II (135.2 ± 12.2 mm vs. 117.4 ± 14.0 mm; p = 0.009). UPVA was smaller in Group I than Group II (114.6 ± 19.5 mm vs. 135.3 ± 16.5 mm; p = 0.014). The distance between the ureteral orifices was 31.8 ± 8.5 mm in Group I and 17.0 ± 4.1 mm in Group II (p < 0.001). There was no statistically significant difference between groups in terms of APVA, bladder mucosa thickness, and distance between ureter and urethra orifice (p > 0.05).
Bladder neck dynamics may play an important role in overactive bladder pathophysiology due to differences in UPVA, UAV, and location of ureteral orifices in this patient population.