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Ultrasonographic changes of the female bladder neck during development
Author(s) -
SUGAYA KIMIO,
NISHIJIMA SAORI,
ODA MASAMI,
OWAN TOMOKO,
ASHITOMI KATSUHIRO,
MIYAZATO MINORU,
MOROZUMI MAKOTO,
HATANO TADASHI,
OGAWA YOSHIHIDE
Publication year - 2002
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1046/j.1442-2042.2002.00541.x
Subject(s) - medicine , neck of urinary bladder , supine position , ultrasonography , sagittal plane , intravenous urography , urinary bladder , urology , surgery , urinary system , anatomy
Background: Our previous study showed that the anteroposterior vesical wall angle (APVA) at the bladder neck on transabdominal ultrasonography varied widely between women. The present study examines whether the APVA changes during development in girls with a normal bladder. Methods: Seventy‐four females aged 0–29 years with normal bladders were examined by transabdominal ultrasonography. They were divided into six age groups and their APVA was measured in the supine position by sagittal ultrasonography. Intravenous urography was conducted to examine bladder neck descent and bladder neck opening. Results: The APVA ranged from 85 to 200°. The mean APVA in girls aged 0–4 years was 129 ± 30° (±SD) and the mean APVA in girls aged 5–9 years was 135 ± 25°. The mean APVA at ages 10–14 years was 161 ± 26°; at 15–19 years, 164 ± 33°; at 20–24 years, 164 ± 18°; and at 25–29 years, 163 ± 16°. The APVA values of these four groups were significantly larger ( P < 0.05) than those of the two younger groups. No bladder abnormalities were found on intravenous urography. Conclusion: The APVA was small in some girls under 10 years of age, but the APVA of girls aged over 10 years was similar to that in young adults. The APVA may reflect bladder base plate tone and be partially related to hormonal changes in females during development.