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International Urogynecology Journal
Published in: International Urogynecology Journal 5/2019

Open Access 01-05-2019 | Original Article

Accuracy of postvoid residual volumes after vaginal delivery: a prospective equivalence study to compare an automatic scanning device with transurethral catheterization

Authors: Femke E. M. Mulder, Sytske van der Velde, Fraukje Pol, Marjolein Bos, Jules Schagen van Leeuwen, Viviane Dietz, Robert A. Hakvoort, Jan-Paul W. R. Roovers

Published in: International Urogynecology Journal | Issue 5/2019

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Abstract

Introduction and hypothesis

Abnormal postvoid residual volumes (PVRV) after delivery are common in daily clinical practice. By using an automatic scanning device, unnecessary catheterizations can be prevented. The aim of this study was to determine the accuracy of PVRV after vaginal delivery measured by an automatic scanning device through a comparison with transurethral catheterization.

Materials and methods

This prospective observational equivalence study was performed in patients who delivered vaginally between June 2012 and May 2017 in three teaching hospitals in The Netherlands. After the first spontaneous void after delivery, postvoid residual volume (PVRV) was measured with a portable automatic scanning device (BladderScan® BVI 9400). Directly afterward, it was measured by catheterization. Correlation between measurements was calculated using Spearman’s correlation coefficient and agreement plot. The primary outcome was to validate the correlation between the BladderScan® compared with the gold standard of transurethral catheterization.

Results

Data of 407 patients was used for final analysis. Median PVRV as measured by BladderScan® was 380 ml (± 261–0–999 ml) and by catheterization was 375 ml (± 315–1800 ml). Mean difference between measurements was −12.9 ml (± 178 ml). There was a very good correlation between methods (Spearman’s rho = 0.82, p < 0.001). Using a cut-ff value of >500 ml, specificity and sensitivity were 85.4 and 85.6%, respectively.

Conclusions

The BladderScan® (BVI 9400) measures PVRV precisely and reliably after vaginal delivery and should be preferred over catheterization.
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Metadata
Title
Accuracy of postvoid residual volumes after vaginal delivery: a prospective equivalence study to compare an automatic scanning device with transurethral catheterization
Authors
Femke E. M. Mulder
Sytske van der Velde
Fraukje Pol
Marjolein Bos
Jules Schagen van Leeuwen
Viviane Dietz
Robert A. Hakvoort
Jan-Paul W. R. Roovers
Publication date
01-05-2019
Publisher
Springer International Publishing
Published in
International Urogynecology Journal / Issue 5/2019
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-018-3700-9

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