The Role of Bladder Trabeculation as a Diagnostic Indicator in the Assessment of Bladder Outlet Obstruction
Introduction: Bladder trabeculation is a morphological marker of detrusor hypertrophy, hypothesized to correlate with bladder outlet obstruction (BOO). This study investigates the prevalence, severity, and clinical implications of BOO in patients with and without LUTS. Methods: A prospective obse...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
university of basrah
2025-06-01
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| Series: | Basrah Journal of Surgery |
| Subjects: | |
| Online Access: | https://bjsrg.uobasrah.edu.iq/article_186872.html |
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| Summary: | Introduction: Bladder trabeculation is a morphological marker of detrusor hypertrophy, hypothesized to correlate with bladder outlet obstruction (BOO). This study investigates the prevalence, severity, and clinical implications of BOO in patients with and without LUTS.
Methods: A prospective observational study included 96 patients divided into Group 1 (Patient presenting for treatment of BOO symptoms) (BOO, n = 44) and Group 2 (Patient presenting for treatment of some other urological conditions) (non-BOO, n = 52). Trabeculation was graded via urethro-cystoscopy (Grade 0–3). Follow-up revealed previously unreported BOO symptoms in Group 2 patients with trabeculation.
Results: Trabeculation prevalence was significantly higher in Group 1 (70.5% vs. 25.0%, p < 0.001). BOO patients exhibited 7.2-fold higher odds of trabeculation (95% CI: 2.98–17.32). On follow-up, all patients who were initially in Group 2 (non-BOO) with trabeculation (13/13) reported BOO/LUTS symptoms, suggesting underdiagnosis. Severe trabeculation (Grade 3) remained exclusive to Group 1.
Conclusion: By this study, we re-confirm that bladder trabeculation strongly associates with Bladder outlet obstruction. Incidental trabeculation in asymptomatic patients may indicate an undiagnosed Bladder Outlet Obstruction, warranting thorough clinical evaluation. |
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| ISSN: | 1683-3589 2409-501X |