Skip to main content
Top
Published in: International Urogynecology Journal 2/2012

01-02-2012 | Original Article

Repeatability of post-void residual urine ≥ 100 ml in urogynaecologic patients

Authors: Marie-Louise Saaby, Gunnar Lose

Published in: International Urogynecology Journal | Issue 2/2012

Login to get access

Abstract

Introduction and hypothesis

Post-void residual urine (PVR) is a key variable in the assessment of the emptying function of the lower urinary tract and is often used as an outcome measure after treatment. Increased PVR can lead to further investigation and treatment, or cancellation of planned incontinence surgery. In a prospective study, we aimed to assess the repeatability of the finding of PVR ≥ 100 ml in urogynaecologic patients.

Methods

Of 396 women with urogynaecologic complaints visiting our outpatient clinic, 297 had PVR measured after a micturition in full privacy preceded by normal desire to void. Women with PVR ≥ 100 ml were offered a second and eventually a third PVR measurement after a subsequent micturition. A Verathon Bladder Scanner BV 9400 was used to measure PVR immediately after micturition.

Results

The prevalence of PVR ≥ 100 was 14%, which declined to 1.3% on repeated measurements. Voided volumes did not vary between voids.

Conclusions

One PVR measurement ≥ 100 ml is unreliable and needs repetition to confirm consistency.
Literature
1.
go back to reference Haylen BT, D de Ridder , Freeman RM, Swift SE, Berghmans B, Lee J, Monga A, Petri E, Rizk DE, Sand PK, Schaer GN (2010) An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn 29:4–20PubMed Haylen BT, D de Ridder , Freeman RM, Swift SE, Berghmans B, Lee J, Monga A, Petri E, Rizk DE, Sand PK, Schaer GN (2010) An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn 29:4–20PubMed
2.
go back to reference Kaplan SA, Wein AJ, Staskin DR, Roehrborn CG, Steers WD (2008) Urinary retention and post-void residual urine in men: separating truth from tradition. J Urol 180:47–54PubMedCrossRef Kaplan SA, Wein AJ, Staskin DR, Roehrborn CG, Steers WD (2008) Urinary retention and post-void residual urine in men: separating truth from tradition. J Urol 180:47–54PubMedCrossRef
3.
go back to reference Haylen BT, Lee J (2008) The accuracy of post-void residual measurement in women. Int Urogynecol J Pelvic Floor Dysfunct 19:603–606PubMedCrossRef Haylen BT, Lee J (2008) The accuracy of post-void residual measurement in women. Int Urogynecol J Pelvic Floor Dysfunct 19:603–606PubMedCrossRef
4.
go back to reference Lukacz ES, DuHamel E, Menefee SA, Luber KM (2007) Elevated postvoid residual in women with pelvic floor disorders: prevalence and associated risk factors. Int Urogynecol J Pelvic Floor Dysfunct 18:397–400PubMedCrossRef Lukacz ES, DuHamel E, Menefee SA, Luber KM (2007) Elevated postvoid residual in women with pelvic floor disorders: prevalence and associated risk factors. Int Urogynecol J Pelvic Floor Dysfunct 18:397–400PubMedCrossRef
5.
go back to reference Haylen BT, Lee J, Logan V, Husselbee S, Zhou J, Law M (2008) Immediate postvoid residual volumes in women with symptoms of pelvic floor dysfunction. Obstet Gynecol 111:1305–1312PubMedCrossRef Haylen BT, Lee J, Logan V, Husselbee S, Zhou J, Law M (2008) Immediate postvoid residual volumes in women with symptoms of pelvic floor dysfunction. Obstet Gynecol 111:1305–1312PubMedCrossRef
6.
go back to reference Gehrich A, Stany MP, Fischer JR, Buller J, Zahn CM (2007) Establishing a mean postvoid residual volume in asymptomatic perimenopausal and postmenopausal women. Obstet Gynecol 110:827–832PubMedCrossRef Gehrich A, Stany MP, Fischer JR, Buller J, Zahn CM (2007) Establishing a mean postvoid residual volume in asymptomatic perimenopausal and postmenopausal women. Obstet Gynecol 110:827–832PubMedCrossRef
7.
go back to reference Costantini E, Mearini E, Pajoncini C, Biscotto S, Bini V, Porena M (2003) Uroflowmetry in female voiding disturbances. Neurourol Urodyn 22:569–573PubMedCrossRef Costantini E, Mearini E, Pajoncini C, Biscotto S, Bini V, Porena M (2003) Uroflowmetry in female voiding disturbances. Neurourol Urodyn 22:569–573PubMedCrossRef
8.
go back to reference Dwyer PL, Desmedt E (1994) Impaired bladder emptying in women. Aust N Z J Obstet Gynaecol 34:73–78PubMedCrossRef Dwyer PL, Desmedt E (1994) Impaired bladder emptying in women. Aust N Z J Obstet Gynaecol 34:73–78PubMedCrossRef
9.
go back to reference Birch NC, Hurst G, Doyle PT (1988) Serial residual volumes in men with prostatic hypertrophy. Br J Urol 62:571–575PubMedCrossRef Birch NC, Hurst G, Doyle PT (1988) Serial residual volumes in men with prostatic hypertrophy. Br J Urol 62:571–575PubMedCrossRef
10.
go back to reference Dunsmuir WD, Feneley M, Corry DA, Bryan J, Kirby RS (1996) The day-to-day variation (test–retest reliability) of residual urine measurement. Br J Urol 77:192–193PubMedCrossRef Dunsmuir WD, Feneley M, Corry DA, Bryan J, Kirby RS (1996) The day-to-day variation (test–retest reliability) of residual urine measurement. Br J Urol 77:192–193PubMedCrossRef
11.
go back to reference Al-Shaikh G, Larochelle A, Campbell CE, Schachter J, Baker K, Pascali D (2009) Accuracy of bladder scanning in the assessment of postvoid residual volume. J Obstet Gynaecol Can 31:526–532PubMed Al-Shaikh G, Larochelle A, Campbell CE, Schachter J, Baker K, Pascali D (2009) Accuracy of bladder scanning in the assessment of postvoid residual volume. J Obstet Gynaecol Can 31:526–532PubMed
12.
go back to reference Marks LS, Dorey FJ, Macairan ML, Park C, deKernion JB (1997) Three-dimensional ultrasound device for rapid determination of bladder volume. Urology 50:341–348PubMedCrossRef Marks LS, Dorey FJ, Macairan ML, Park C, deKernion JB (1997) Three-dimensional ultrasound device for rapid determination of bladder volume. Urology 50:341–348PubMedCrossRef
13.
go back to reference Goode PS, Locher JL, Bryant RL, Roth DL, Burgio KL (2000) Measurement of postvoid residual urine with portable transabdominal bladder ultrasound scanner and urethral catheterization. Int Urogynecol J Pelvic Floor Dysfunct 11:296–300PubMedCrossRef Goode PS, Locher JL, Bryant RL, Roth DL, Burgio KL (2000) Measurement of postvoid residual urine with portable transabdominal bladder ultrasound scanner and urethral catheterization. Int Urogynecol J Pelvic Floor Dysfunct 11:296–300PubMedCrossRef
14.
go back to reference Fitzgerald MP, Jaffar J, Brubaker L (2001) Risk factors for an elevated postvoid residual urine volume in women with symptoms of urinary urgency, frequency and urge incontinence. Int Urogynecol J Pelvic Floor Dysfunct 12:237–239PubMedCrossRef Fitzgerald MP, Jaffar J, Brubaker L (2001) Risk factors for an elevated postvoid residual urine volume in women with symptoms of urinary urgency, frequency and urge incontinence. Int Urogynecol J Pelvic Floor Dysfunct 12:237–239PubMedCrossRef
15.
go back to reference Bump RC, Fantl JA, Hurt WG (1988) The mechanism of urinary continence in women with severe uterovaginal prolapse: results of barrier studies. Obstet Gynecol 72:291–295PubMed Bump RC, Fantl JA, Hurt WG (1988) The mechanism of urinary continence in women with severe uterovaginal prolapse: results of barrier studies. Obstet Gynecol 72:291–295PubMed
16.
go back to reference Romanzi LJ (2002) Management of the urethral outlet in patients with severe prolapse. Curr Opin Urol 12:339–344PubMedCrossRef Romanzi LJ (2002) Management of the urethral outlet in patients with severe prolapse. Curr Opin Urol 12:339–344PubMedCrossRef
17.
go back to reference Romanzi LJ, Chaikin DC, Blaivas JG (1999) The effect of genital prolapse on voiding. J Urol 161:581–586PubMedCrossRef Romanzi LJ, Chaikin DC, Blaivas JG (1999) The effect of genital prolapse on voiding. J Urol 161:581–586PubMedCrossRef
18.
go back to reference Bai SW, Cho JM, Kwon HS, Park JH, Shin JS, Kim SK, Park KH (2005) The relationship between maximal urethral closure pressure and functional urethral length in anterior vaginal wall prolapse patients according to stage and age. Yonsei Med J 46:408–413PubMedCrossRef Bai SW, Cho JM, Kwon HS, Park JH, Shin JS, Kim SK, Park KH (2005) The relationship between maximal urethral closure pressure and functional urethral length in anterior vaginal wall prolapse patients according to stage and age. Yonsei Med J 46:408–413PubMedCrossRef
19.
go back to reference Nygaard I, Kreder K, Mueller E, Brubaker L, Goode P, Visco A, Weber AM, Cundiff G, Wei J (2007) Does urethral competence affect urodynamic voiding parameters in women with prolapse? Neurourol Urodyn 26:1030–1035PubMedCrossRef Nygaard I, Kreder K, Mueller E, Brubaker L, Goode P, Visco A, Weber AM, Cundiff G, Wei J (2007) Does urethral competence affect urodynamic voiding parameters in women with prolapse? Neurourol Urodyn 26:1030–1035PubMedCrossRef
20.
go back to reference Choe JH, Lee JY, Lee KS (2007) Accuracy and precision of a new portable ultrasound scanner, the BME-150A, in residual urine volume measurement: a comparison with the BladderScan BVI 3000. Int Urogynecol J Pelvic Floor Dysfunct 18:641–644PubMedCrossRef Choe JH, Lee JY, Lee KS (2007) Accuracy and precision of a new portable ultrasound scanner, the BME-150A, in residual urine volume measurement: a comparison with the BladderScan BVI 3000. Int Urogynecol J Pelvic Floor Dysfunct 18:641–644PubMedCrossRef
21.
go back to reference Elsamra SE, Gordon Z, Ellsworth PI (2011) The pitfalls of BladderScan PVR in evaluating bladder volume in adolescent females. J Pediatr Urol 7:95–97PubMedCrossRef Elsamra SE, Gordon Z, Ellsworth PI (2011) The pitfalls of BladderScan PVR in evaluating bladder volume in adolescent females. J Pediatr Urol 7:95–97PubMedCrossRef
22.
go back to reference Cooperberg MR, Chambers SK, Rutherford TJ, Foster HE Jr (2000) Cystic pelvic pathology presenting as falsely elevated post-void residual urine measured by portable ultrasound bladder scanning: report of 3 cases and review of the literature. Urology 55:590PubMedCrossRef Cooperberg MR, Chambers SK, Rutherford TJ, Foster HE Jr (2000) Cystic pelvic pathology presenting as falsely elevated post-void residual urine measured by portable ultrasound bladder scanning: report of 3 cases and review of the literature. Urology 55:590PubMedCrossRef
23.
go back to reference Tan TL, Ding YY, Lieu PK (2003) False positive findings in the ultrasound assessment of postvoid residual urine volume. Age Ageing 32:356PubMedCrossRef Tan TL, Ding YY, Lieu PK (2003) False positive findings in the ultrasound assessment of postvoid residual urine volume. Age Ageing 32:356PubMedCrossRef
24.
go back to reference Satoh W, Nakada T (1999) Characteristics of circadian change in urinary frequency, bladder capacity and residual urine volume in elderly men with lower urinary tract symptoms. Nurs Health Sci 1:125–129PubMedCrossRef Satoh W, Nakada T (1999) Characteristics of circadian change in urinary frequency, bladder capacity and residual urine volume in elderly men with lower urinary tract symptoms. Nurs Health Sci 1:125–129PubMedCrossRef
Metadata
Title
Repeatability of post-void residual urine ≥ 100 ml in urogynaecologic patients
Authors
Marie-Louise Saaby
Gunnar Lose
Publication date
01-02-2012
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 2/2012
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-011-1614-x

Other articles of this Issue 2/2012

International Urogynecology Journal 2/2012 Go to the issue

Mentors in Urogynecology

Urogynaecology: my view