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The significance of detrusor wall thickness as a prognostic factor in pediatric bladder outlet obstruction

DC FieldValueLanguage
dc.contributor.author이용승-
dc.contributor.author임영재-
dc.contributor.author정현진-
dc.contributor.author한상원-
dc.contributor.author홍창희-
dc.date.accessioned2014-12-19T17:14:18Z-
dc.date.available2014-12-19T17:14:18Z-
dc.date.issued2012-
dc.identifier.issn0022-3468-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/91037-
dc.description.abstractPURPOSE: The purpose of this study is to determine detrusor thickness as a prognostic factor in posterior urethral valves. METHODS: The medical information of 41 patients diagnosed with posterior urethral valves at our institute was retrospectively reviewed. The serum creatinine level after bladder decompression, results of ultrasonography, and voiding cystourethrography were compared between groups divided according to the final bladder and renal function. Detrusor thickness was measured using Müller's method. RESULTS: The median detrusor thickness was 1.3 mm (0.4-2.5 mm). After median 45.6 months (7.2-96.0 months) of follow-up, impaired bladder function (IBF) was observed in 14 patients. In multivariate analysis, detrusor thickness greater than 1.3 mm (odds ratio, 32.6; 95% confidence interval, 3.1-340.6; P = .004) was the only independent risk factor for later IBF. Final renal function impairment developed in 24 patients (58.5%), and 3 patients (7.3%) were diagnosed with end-stage renal disease after median 66.0 months (32.4-133.2 months) of follow-up period. On multivariate analysis, age-specific elevated serum creatinine level at presentation (odds ratio, 11.1; 95% confidence interval, 1.1-112.5; P = .042) was an independent risk factor. CONCLUSIONS: Detrusor thickness more than 1.3 mm on ultrasonography was an independent prognostic factor for later IBF.-
dc.description.statementOfResponsibilityopen-
dc.relation.isPartOfJOURNAL OF PEDIATRIC SURGERY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHBiomarkers/blood-
dc.subject.MESHCreatinine/blood-
dc.subject.MESHFollow-Up Studies-
dc.subject.MESHHumans-
dc.subject.MESHInfant-
dc.subject.MESHLogistic Models-
dc.subject.MESHMultivariate Analysis-
dc.subject.MESHPrognosis-
dc.subject.MESHROC Curve-
dc.subject.MESHRecovery of Function-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHRisk Factors-
dc.subject.MESHTreatment Outcome-
dc.subject.MESHUltrasonography-
dc.subject.MESHUrinary Bladder/diagnostic imaging*-
dc.subject.MESHUrinary Bladder/pathology-
dc.subject.MESHUrinary Bladder/physiopathology-
dc.subject.MESHUrinary Bladder Neck Obstruction/blood-
dc.subject.MESHUrinary Bladder Neck Obstruction/diagnostic imaging*-
dc.subject.MESHUrinary Bladder Neck Obstruction/pathology-
dc.subject.MESHUrinary Bladder Neck Obstruction/therapy-
dc.titleThe significance of detrusor wall thickness as a prognostic factor in pediatric bladder outlet obstruction-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Urology (비뇨기과학)-
dc.contributor.googleauthorYong Seung Lee-
dc.contributor.googleauthorHyun Jin Jung-
dc.contributor.googleauthorYoung Jae Im-
dc.contributor.googleauthorChang Hee Hong-
dc.contributor.googleauthorSang Won Han-
dc.identifier.doi22974606-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA04285-
dc.contributor.localIdA02980-
dc.contributor.localIdA03387-
dc.contributor.localIdA03772-
dc.contributor.localIdA04447-
dc.relation.journalcodeJ01689-
dc.identifier.eissn1531-5037-
dc.identifier.pmid22974606-
dc.identifier.urlhttp://www.sciencedirect.com/science/article/pii/S002234681200293X-
dc.subject.keywordBladder outlet obstruction-
dc.subject.keywordUltrasonography-
dc.subject.keywordCreatinine-
dc.contributor.alternativeNameLee, Yong Seung-
dc.contributor.alternativeNameIm, Young Jae-
dc.contributor.alternativeNameJung, Hyun Jin-
dc.contributor.alternativeNameHan, Sang Won-
dc.contributor.alternativeNameHong, Chang Hee-
dc.contributor.affiliatedAuthorHan, Sang Won-
dc.contributor.affiliatedAuthorLee, Yong Seung-
dc.contributor.affiliatedAuthorIm, Young Jae-
dc.contributor.affiliatedAuthorJung, Hyun Jin-
dc.contributor.affiliatedAuthorHong, Chang Hee-
dc.citation.volume47-
dc.citation.number9-
dc.citation.startPage1682-
dc.citation.endPage1687-
dc.identifier.bibliographicCitationJOURNAL OF PEDIATRIC SURGERY, Vol.47(9) : 1682-1687, 2012-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers

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