RELIABILITY OF BLADDER VOLUME DETERMINATION IN CHILDREN BY PORTABLE
ULTRASONOGRAPHIC SCANNER IN STANDING POSITION
Abstract
Aim: We aimed to compare pre-voiding bladder and post-voiding residual
(BV, PVR) volumes measured by portable ultrasonic scanner (PUS) in
standing and supine positions. Material and Methods: A total of 436
children were included. We composed 2 groups (group-1: PUS vs. volume by
catheter, group-2: PUS vs. infused volume during urodynamic study) to
evaluate the agreement of PUS measurements with actual bladder volume
and then third group (group-3) to analyze the correlation of PUS
measurements in standing vs. supine positions. In groups 1 and 2,
agreement of measurements were evaluated by paired sample T or Wilcoxon
signed rank tests. Following confirmation of agreement, correlations
were analyzed by Pearson’s or Spearman’s coefficients in all groups.
Interpretation of coefficients were done as 0.90-1.00 (very high
correlation) and 0.70-0.90 (high correlation), respectively. Results: In
group-1, measurements (catheter vs. PUS) were similar (Wilcoxon Signed
rank test, p= 0.976) and were highly correlated (r=0.873). In group-2,
measurements of bladder volumes infused by urodynamic device and volumes
by PUS were similar that revealed the agreement of PUS measurements on
different volumes and highly correlated at the 25th and very highly
correlated at the 50th, 75th and 100th percentiles of the EBC (estimated
bladder capacity related to age). In group-3, BV and PVR measurements by
PUS in standing and supine positions were highly correlated that
revelaed PUS can be used in both positions. Conclusion: Measurements of
BV before uroflowmetry or PVR volume by PUS in standing position gave
similar results with those in supine position.