Evaluation of the Relationship between Bladder Wall Thickness and Pathological Findings in Patients with Hematuria

Objective: This study aimed to evaluate the relationship between bladder wall thickness (BWT), measured via ultrasonography, and histopathological findings in patients presenting with hematuria, and to determine the predictive value of BWT for urothelial malignancy.Methods: Patients diagnosed with hematuria and who underwent bladder biopsy between January 2010 and June 2023 were retrospectively analyzed.Patients were categorized into benign and malignant pathology groups.Demographic data, BWT measurements, and biopsy results were compared.Results: Benign pathology was detected in 86.8% and urothelial carcinoma in 13.2% of 175 patients.The malignant group was older (median 67.0 vs. 44.5 years; p<0.001) and had a higher proportion of males compared to the non-malignant group (p=0.002).No significant difference in BWT was observed between the groups (p=0.132). Conclusion:Although increased BWT may indicate an underlying pathological process in patients with hematuria, it is not sufficient alone to predict malignancy.BWT should be assessed alongside clinical evaluation and advanced diagnostic methods.