71 results on '"Incomplete bladder emptying"'
Search Results
2. Detrusor underactivity prevalence and risk factors according to different definitions in women attending urogynecology clinic.
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D'Alessandro, Gloria, Palmieri, Stefania, Cola, Alice, Barba, Marta, Manodoro, Stefano, and Frigerio, Matteo
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UROGYNECOLOGY , *PELVIC floor disorders , *URINARY stress incontinence , *CHI-squared test - Abstract
Introduction and hypothesis: There is still no consensus on definitions of detrusor underactivity; therefore, it is difficult to estimate the prevalence. The primary objective of the study was to evaluate the prevalence of detrusor underactivity in a cohort of patients with pelvic floor disorders according to different proposed urodynamics definitions. The secondary objectives were to estimate the association between detrusor underactivity and symptoms, anatomy and urodynamic findings and to build predictive models. Methods: Patients who performed urodynamic evaluation for pelvic floor disorders between 2008 and 2016 were retrospectively analyzed. Detrusor underactivity was evaluated according to Schafer's detrusor factor, Abrams' bladder contractility index and Jeong cut-offs. The degree of concordance between each method was measured with Cohenʼs kappa, and differences were tested using Student's t test, Wilcoxon test and Pearson's chi-squared test. Results: The prevalence of detrusor underactivity among a cohort of 2092 women, concerning the three urodynamic definitions, was 33.7%, 37.0% and 4.1%, respectively. Age, menopausal status, voiding/bulging symptoms, anterior and central prolapse, first desire to void and positive postvoid residual were directly related to detrusor underactivity. Conversely, stress urinary incontinence, detrusor pressures during voiding and maximum flow were inversely associated. Final models for detrusor underactivity resulted in poor accuracy for all considered definitions. Conclusions: The prevalence of detrusor underactivity varies depending on the definition considered. Although several clinical variables resulted as independent predictors of detrusor underactivity, instrumental evaluation still plays a key role in the diagnosis. [ABSTRACT FROM AUTHOR]
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- 2022
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3. Sensation of incomplete bladder emptying in women: Lack of correlation to an elevated post‐void residual.
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Van Kuiken, Michelle, Volkin, Dmitry, Zaila Ardines, Kassandra, Lin, Frank C., Fullerton, Morgan, Kwan, Lorna, and Nitti, Victor W.
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BLADDER ,URINARY organs ,SENSES ,DETERIORATION of materials ,DYSURIA - Abstract
Introduction/Background: Sensation of incomplete bladder emptying (SIBE) has been shown to be correlated with an elevated post‐void residual (PVR) in men, however, the significance of this symptom and whether it correlates with an elevated PVR in women is less clear. In this study, we assessed if SIBE in women is correlated with an elevated PVR and determined the relationship of SIBE to other lower urinary tract symptoms. Methods/Materials: Women ages ≥18 with lower urinary tract symptoms were eligible. SIBE was defined by a response "sometimes", "most of the time", or "all of the time" to the question "How often do you feel that your bladder has not emptied properly after you have urinated?" on the International Consultation on Incontinence Questionnaire. Frequency and bother of other lower urinary tract symptoms were also assessed to compare their relationship to SIBE. Elevated PVR was defined as ≥100 ml via ultrasound. Results: We prospectively evaluated 95 women, 59% of whom reported SIBE. Compared to women without SIBE, women with SIBE reported more urinary hesitancy (51% vs. 18%, p = 0.002), intermittency (56% vs. 16%, p < 0.001), weak stream (36% vs. 5%, p < 0.001), dysuria (29% vs. 5%, p = 0.004), and straining (25% vs 5%, p = 0.013). However, there was no difference in elevated PVRs between women with and without SIBE [5/56, 9% vs. 4/39, 10%, (p = 0.99)]. All women, regardless of SIBE, reported higher bother from storage and incontinence symptoms versus voiding symptoms with no difference in overall bother scores. Conclusion: SIBE is a common complaint in women with lower urinary tract symptoms. While women with SIBE reported more voiding symptoms, they were more bothered by storage symptoms. Importantly, most of these women emptied their bladder well and were not more likely to have an elevated PVR than women without SIBE. [ABSTRACT FROM AUTHOR]
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- 2022
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4. Effect of Catheterization Time combined with Volume on Patients with Incomplete Bladder Emptying after Stroke
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Huiying ZHANG, Xiuqin SHAO, Tianzi ZOU, Xiaoyue LI, Shuang QUAN, and Tongzhou MI
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stroke ,incomplete bladder emptying ,intermittent catheterization ,time combined volume type ,urinary function ,Medicine - Abstract
Objective:To observe the effect of catheterization time combined with catheterization volume on patients with incomplete bladder emptying (IBE) after stroke.Methods:A total of 62 patients with IBE after stroke were divided into the control group (n=30) and the observation group (n=32) respectively, in the first affiliated hospital of Nanchang University from June to December 2017, according to the random number table method. The control group was given routine rehabilitation treatment such as transcutaneous nerve stimulation, acupuncture, bladder function retraining, and at the same time, the patients were given time-type intermittent catheterization once every 4-8 hours. The observation group was given catheterization time combined with catheterization volume on the basis of routine rehabilitation treatment in the control group. The patients were classified according to the results of urodynamics and bladder volume pressure measurement. Bladder volume before urination and residual urine volume after micturition were dynamically monitored by BladderScar (BVI9400) and micturition diary bedside, and intermittent catheterization was performed when the urine volume reached"bladder safety capacity". Before and after intervention, the patients'micturition volume, times of micturition and interval time of micturition were observed; the bladder safety capacity and residual urine volume were assessed by Bladder capacity tester; the incidence of urinary tract infection was assessed by laboratory urine culture; the reimplantation of indwelling catheter was observed in the two groups.Results:Before intervention, there was no significant difference in micturition volume, micturition times, voiding time interval, bladder volume, residual urine volume, urinary tract infection and repeated indwelling catheter times between the two groups (P>0.05). Compared with those before intervention, the urine volume and bladder volume in the observation group increased significantly and the residual urine volume decreased significantly after intervention for three weeks, and the difference was statistically significant (PPP>0.05).Conclusion:Catheterization time combined with volume intermittent catheterization is helpful for patients to re-establish micturition reflex arc, increase self-micturition volume and bladder capacity, reduce residual urine volume and average daily micturition times according to accurate bladder safety capacity. It is worthy of clinical application to promote the recovery of patients'autonomous voiding function and reduce the risk of urinary tract infection.
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- 2020
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5. Urinary Retention and Voiding Dysfunction
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Pape, Dominique Malacarne, Nitti, Victor W., Dmochowski, Roger, editor, and Heesakkers, John, editor
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- 2018
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6. Detrusor underactivity prevalence and risk factors according to different definitions in women attending urogynecology clinic
- Author
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D’Alessandro, Gloria, Palmieri, Stefania, Cola, Alice, Barba, Marta, Manodoro, Stefano, and Frigerio, Matteo
- Published
- 2022
- Full Text
- View/download PDF
7. Rare subpubic cartilaginous cyst presenting with lower urinary tract symptoms.
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Klemme, Michael and Kowalski, Joseph T.
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URINARY organs , *SYMPTOMS , *PUBIC symphysis , *URINARY tract infections - Abstract
Keywords: Cartilaginous cyst; Pubic cyst; Incomplete bladder emptying EN Cartilaginous cyst Pubic cyst Incomplete bladder emptying 465 467 3 01/28/21 20210201 NES 210201 Introduction Subpubic cartilaginous cysts are rare masses most commonly seen in parous women. MRI revealed a 35 × 36 × 25-mm well-defined, complex, rim-enhancing lesion associated with the posterior/inferior aspect of the pubic symphysis and abutting but distinct from the urethra (Figs. 3 Coronal T2-weighted HASTE MRI revealing a hyperintense, mixed cystic and solid fluid-filled subpubic cyst separate from anatomical surroundings The patient was referred to orthopedic oncology, who recommended biopsy and subsequent surgical excision by urogynecology. [Extracted from the article]
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- 2021
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8. Long-term micturition problems of asymptomatic postpartum urinary retention: a prospective case-control study.
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Mulder, Femke E. M., Hakvoort, Robert A., De Bruin, Jan-Peter, Janszen, Erica W., Van Der Post, Joris A. M., and Roovers, Jan-Paul W. R.
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URINATION disorders , *PUERPERAL disorders , *DELIVERY (Obstetrics) , *PELVIC floor , *DIAGNOSIS , *DISEASE risk factors , *DISEASES - Abstract
Introduction and hypothesis: Covert (asymptomatic) postpartum urinary retention (PUR) is defined as post-void residual volume (PVRV) ≥150 mL. Although often supposed to be a common and harmless phenomenon, no data are available on the potential long-term micturition problems of increased PVRV after vaginal delivery.Methods: After the first spontaneous void post-vaginal delivery, PVRV was measured using a portable scanning device. Micturition symptoms were compared using validated questionnaires between women with PVRV < 150 mL and those with PVRV ≥150 mL until 1 year after delivery. Women with PVRV ≥ 150 mL were followed until complete bladder emptying was achieved.Results: Data of 105 patients with PVRV < 150 mL and 119 with PVRV ≥ 150 mL were available for analysis. 75% of all patients included had PVRV ≥ 250 mL. More primiparous patients had PVRV ≥ 150 mL (
p < 0.02). 92% of women with PVRV ≥ 150 mL after delivery were able to adequately empty their bladder within 4 days. One year after delivery, no statistically significant differences were found.Conclusions: Covert PUR according to the definition of PVRV ≥ 150 mL, is a common and transient phenomenon that does not result in more lower urinary tract symptoms 1 year after delivery. Although the current definition is not useful in identifying postpartum women with a pathological condition, we suggest that the definition of covert PUR should be change to: “PVRV≥500 mL after the first spontaneous void after (vaginal) delivery.” This cut-off value is the value at which some women do need more time to normalise emptying of the bladder. The exact clinical implications of covert PUR need to be further studied in this subcategory of women. [ABSTRACT FROM AUTHOR]- Published
- 2018
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9. Clinical Factors Associated With the Feeling of Incomplete Bladder Emptying in Women With Little Postvoided Residue
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Kwang Suk Lee and Kyo Chul Koo
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medicine.medical_specialty ,Incomplete bladder emptying ,Urology ,media_common.quotation_subject ,030232 urology & nephrology ,urinary tract physiological phenomenon ,macromolecular substances ,Affect (psychology) ,urologic and male genital diseases ,lcsh:RC870-923 ,03 medical and health sciences ,0302 clinical medicine ,urinary tract physiological processes ,Quality of life ,Lower urinary tract symptoms ,Female patient ,urination disorders ,medicine ,Clinical Investigation ,media_common ,business.industry ,Urination disorder ,medicine.disease ,lcsh:Diseases of the genitourinary system. Urology ,female ,Neurology ,Overactive bladder ,Feeling ,030220 oncology & carcinogenesis ,Original Article ,Neurology (clinical) ,business - Abstract
Purpose: To investigate the clinical factors associated with the feeling of incomplete bladder emptying in female patients with lower urinary tract symptoms (LUTS).Methods: Records were obtained from a prospectively maintained database for 353 female patients without a history of treatment for LUTS. Patients with comorbidities that may affect voiding function and with postvoid residual (PVR) volume >20 mL or PVR volume-to-bladder capacity ratio of >10% were excluded. Finally, 211 patients were eligible for the study.Results: Patients were stratified according to the severity of the feeling of incomplete emptying: non-severe group (n=147, 69.7%) and severe group (n=64, 30.3%). The severe group showed longer time to maximum flow rate (Qmax) and greater total overactive bladder symptom score (OABSS). No differences in age, PVR volume, and diagnosis of overactive bladder (OAB) were found between the 2 severity groups. Multivariable analysis identified the severity of the feeling of incomplete emptying to be significantly associated with time to Qmax and minimum volume of voids. Time to Qmax was identified as a significant predictor of severe symptoms in women with OAB. In addition, the feeling of incomplete emptying, total OABSS, and minimum volume of voids were significantly associated with quality of life.Conclusions: Female patients with the feeling of incomplete emptying who have insignificant PVR volume exhibited severe voiding symptoms and low quality of life. The treatment strategy should be focused on improving the minimum volume of voids and shortening the time to Qmax.
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- 2020
10. Effect of Catheterization Time combined with Volume on Patients with Incomplete Bladder Emptying after Stroke
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medicine.medical_specialty ,Complementary and alternative medicine ,Incomplete bladder emptying ,business.industry ,Internal medicine ,medicine ,Cardiology ,Pharmaceutical Science ,Pharmacology (medical) ,medicine.disease ,business ,Stroke ,Volume (compression) - Published
- 2020
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11. Effects of electroacupuncture on recent stroke inpatients with incomplete bladder emptying: a preliminary study
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Yu KW, Lin CL, Hung CC, Chou EC, Hsieh YL, Li TM, and Chou LW
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Aging ,Electroacupuncture ,Incomplete bladder emptying ,Stroke ,Geriatrics ,RC952-954.6 - Abstract
Kuo-Wei Yu,1,* Chien-Lin Lin,1,2 Chun-Chuang Hung,3 Eric Chieh-Lung Chou,4 Yueh-Ling Hsieh,5 Te-Mao Li,2,3,* Li-Wei Chou1,2,61Department of Physical Medicine and Rehabilitation, China Medical University Hospital, Taichung, Taiwan; 2School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung, Taiwan; 3Graduate Institute of Acupuncture Science, China Medical University, Taichung, Taiwan; 4Department of Urology, China Medical University Hospital, Taichung, Taiwan; 5Department of Physical Therapy, China Medical University, Taichung, Taiwan; 6Acupuncture Research Center, China Medical University, Taichung, Taiwan*These authors contributed equally to this workBackground: Incomplete bladder emptying (IBE) is defined as having a postvoid residual (PVR) urine volume greater than 100 mL for 2 consecutive days. IBE is common in stroke patients and could necessitate indwelling or intermittent catheterization. The condition is correlated with urinary tract infections, which could impede rehabilitation progress and increase medical costs. Treatment for patients with IBE includes bladder retraining, biofeedback, medication, and botulinum toxin injection, but none of these interventions are completely effective.Methods: All patients with acute stroke who were admitted to the rehabilitation ward between August 2010 and April 2011 were included in the study and their PVR urine volume was checked. Electroacupuncture (EA; 1 Hz, 15 minutes) was performed on the acupoints Sanyinjiao (SP6), Ciliao (BL32), and Pangguangshu (BL28) of stroke patients with IBE for a total of ten treatments (five times a week for 2 weeks). Bladder diaries, which included the spontaneous voiding and PVR urine volumes, were recorded during the course of treatment.Results: The presence of IBE was not related to sex, history of diabetes mellitus, stroke type (hemorrhagic or ischemic), or stroke location (P > 0.05). Among the 49 patients in the study, nine (18%) had IBE, and seven of the stroke patients with IBE were treated with EA. Increased spontaneous voiding volume and decreased PVR urine volume were noted after ten sessions of EA.Conclusion: EA may have beneficial effects on stroke survivors with IBE, thereby making it a potential safe modality with which to improve urinary function.Keywords: acupuncture, electroacupuncture, incomplete bladder emptying, rehabilitation, stroke, urinary retention
- Published
- 2012
12. INCOMPLETE BLADDER EMPTYING SYNDROME IN CHILDREN: DIFFERENTIAL DIAGNOSIS SPECTRUM
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S.S. Nikitin, Scientific, T.L. Bozhendaev, R.O. Ignatiev, and N.B. Guseva
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medicine.medical_specialty ,Incomplete bladder emptying ,business.industry ,Pediatrics, Perinatology and Child Health ,medicine ,Radiology ,Differential diagnosis ,business - Published
- 2019
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13. A Survey on Voiding Complaints in Women Presenting at a Pelvic Care Center
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Kevin Rademakers, Bary Berghmans, Gommert van Koeveringe, Heidi F. A. Moossdorff-Steinhauser, Fred H. M. Nieman, Promovendi PHPC, Epidemiologie, RS: CAPHRI - R3 - Functioning, Participating and Rehabilitation, MUMC+: MA AIOS Urologie (9), MUMC+: MA Urologie (3), Urologie, MUMC+: MA Urologie (9), RS: MHeNs - R3 - Neuroscience, and MUMC+: CCZ Urologie Pelvic Care (9)
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Original Paper ,medicine.medical_specialty ,Pelvic floor ,Incomplete bladder emptying ,business.industry ,Urology ,Urinary system ,030232 urology & nephrology ,Patient characteristics ,Care center ,medicine.disease ,urologic and male genital diseases ,female genital diseases and pregnancy complications ,03 medical and health sciences ,0302 clinical medicine ,medicine.anatomical_structure ,Oncology ,Reproductive Medicine ,Lower urinary tract symptoms ,030220 oncology & carcinogenesis ,Internal medicine ,medicine ,business ,Self report ,Neurogenic bladder dysfunction - Abstract
Introduction: This article reports the prevalence of self-reported voiding complaints and the relationship with other pelvic floor and bladder dysfunctions (PFD).Materials and Methods: Women with a variety of PFDs were referred to the pelvic care center. A standardised questionnaire on 6 PFDs was used. Frequencies of patient characteristics, PFDs and voiding complaints were calculated. Cross tabulation was used to investigate correlations and Pearson correlation coefficients to reveal the strength of the association between PFDs and self-reported voiding complaints.Results: Data of 4470 women were included. Prevalence of (self-reported) voiding Lower urinary tract symptoms was 59.5%. Incomplete bladder emptying is the most prevalent voiding complaint. Self-reported voiding complaints are weakly correlated to age (r = 0.15, p < 0.01) and have moderate correlation with self-reported recurrent urinary tract infections (r = 0.34, p < 0.01), pelvic floor, bladder and bowel complaints. However, the correlation between the feeling of incomplete bladder emptying and the presence of recurrent urinary tract infections is weak (r = 0.06, p = 0.02).Conclusion: Voiding complaints have a high prevalence and symptom bother in women visiting a pelvic care center.
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- 2019
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14. Combined vaginal-laparoscopic approach vs. laparoscopy alone for prevention of bladder voiding dysfunction after removal of large rectovaginal endometriosis
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J.-N. Cornu, Jennifer Pontré, C. Klapczynski, Horace Roman, C. Hennetier, E. Desnyder, Jean-Jacques Tuech, P. Collard, Clinique Tivoli Ducos [Bordeaux], Aarhus University Hospital, Expert Center in the Diagnosis and Multidisciplinary Management of Endometriosis = Le Centre expert de diagnostic et de prise en charge multidisciplinaire de l’endométriose de Rouen, King-Edward Memorial Hospital, Perth, Australia., Clinique Saint-Hilaire [Rouen], Service d'urologie [Rouen], Université de Rouen Normandie (UNIROUEN), Normandie Université (NU)-Normandie Université (NU)-CHU Rouen, Normandie Université (NU), Nutrition, inflammation et dysfonctionnement de l'axe intestin-cerveau (ADEN), Normandie Université (NU)-Normandie Université (NU)-Institut National de la Santé et de la Recherche Médicale (INSERM), Institute for Research and Innovation in Biomedicine (IRIB), Normandie Université (NU)-Normandie Université (NU)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), UNIROUEN - UFR Santé (UNIROUEN UFR Santé), Normandie Université (NU)-Normandie Université (NU), Service de chirurgie digestive [CHU Rouen], CHU Rouen, and Normandie Université (NU)-Normandie Université (NU)-Université de Rouen Normandie (UNIROUEN)
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medicine.medical_specialty ,Incomplete bladder emptying ,Urinary Bladder ,Endometriosis ,[SDV.MHEP.GEO]Life Sciences [q-bio]/Human health and pathology/Gynecology and obstetrics ,Cohort Studies ,03 medical and health sciences ,Postoperative complications ,0302 clinical medicine ,Bladder atony ,medicine ,Humans ,In patient ,Vaginal approach ,BLADDER ATONY ,Laparoscopy ,ComputingMilieux_MISCELLANEOUS ,Retrospective Studies ,Deeply infiltrating endometriosis ,medicine.diagnostic_test ,business.industry ,General Medicine ,medicine.disease ,Surgery ,Rectal Diseases ,030220 oncology & carcinogenesis ,Female ,030211 gastroenterology & hepatology ,Abnormal results ,business ,Bladder dysfunction ,Pelvic splanchnic nerve ,Cohort study - Abstract
Summary Study objective To assess whether the combined vaginal-laparoscopic route may reduce the risk of postoperative bladder atony, when compared to an exclusively laparoscopic approach, in patients presenting with deeply infiltrating rectovaginal endometriosis with extensive vaginal infiltration. Design Retrospective comparative cohort study using data prospectively recorded in the CIRENDO database. Setting Academic Tertiary Care Centre. Patients One hundred and thirty-two consecutive patients who underwent surgery of rectovaginal endometriosis with vaginal infiltration measuring greater than 3 cm diameter. Interventions Combined vaginal-laparoscopic versus laparoscopic approach. Measurement and main results Sixty-two patients underwent excision of endometriosis via a combined vaginal-laparoscopic approach (study group, or cases), while 71 patients underwent surgery via an exclusively laparoscopic route (controls). Rates of preoperative cyclical voiding difficulty and sensation of incomplete bladder emptying were comparable between the two groups. Preoperative urodynamic assessment was carried out in 18% of cases and 38% of controls, with abnormal results in 27.3% and 11.1% of cases and controls respectively. Early postoperative voiding difficulty (post-void residual > 100 mL) occurred in 14.7% and 24.3% of cases and controls respectively. There was a significant reduction in risk of intermittent self-catheterisation of 13% at time of discharge in the study cases. Three months postoperatively, one case and 6 controls had persistent voiding dysfunction requiring prolonged self-catheterisation. Conclusion The combined vaginal-laparoscopic approach for large rectovaginal endometriotic nodules could reduce the risk of postoperative bladder dysfunction, when compared to an exclusively laparoscopic approach, most likely due to a reduced risk of damage to the pelvic splanchnic nerves at the paravaginal level.
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- 2021
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15. Editorial Comment: Optimal timing of a second postoperative voiding trial in women with incomplete bladder emptying after vaginal reconstructive surgery: a randomized trial
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Cássio L. Z. Riccetto
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Reconstructive surgery ,medicine.medical_specialty ,Female Urology ,business.industry ,Incomplete bladder emptying ,Urology ,Urinary Bladder ,Urination ,Plastic Surgery Procedures ,Urinary Retention ,Diseases of the genitourinary system. Urology ,law.invention ,Surgery ,Postoperative Complications ,Randomized controlled trial ,law ,Vagina ,Humans ,Medicine ,Female ,RC870-923 ,business ,Update in Urology - Published
- 2021
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16. Risk Factors for Incomplete Bladder Emptying After Prolapse Repairs and Slings
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Patricia J Mwesigwa, Robert E. Gutman, Moiuri M Siddiquie, and Katelyn R. Smithling
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Reoperation ,medicine.medical_specialty ,Multivariate analysis ,Incomplete bladder emptying ,Urology ,Uterosacral ligament ,030232 urology & nephrology ,Pelvic Organ Prolapse ,Sling (weapon) ,03 medical and health sciences ,Postoperative Complications ,0302 clinical medicine ,Risk Factors ,Chart review ,medicine ,Humans ,Aged ,Retrospective Studies ,Suburethral Slings ,030219 obstetrics & reproductive medicine ,business.industry ,Obstetrics and Gynecology ,Anterior repair ,Odds ratio ,Middle Aged ,Urinary Retention ,Surgery ,Catheter ,medicine.anatomical_structure ,Case-Control Studies ,Female ,Urinary Catheterization ,business - Abstract
OBJECTIVE The aim of this study was to determine the risk factors for catheter use and incomplete bladder emptying (IE) more than 1 week after prolapse repairs and slings. METHODS This is a case-control study of women with prolapse repairs and/or sling from June 2011 to April 2016. All underwent standardized postoperative voiding trial before discharge. Controls and cases of IE were identified by codes and chart review; cases were defined as those needing any postoperative catheterization. We excluded patients with preoperative catheter use or postvoid residual (PVR) greater than 150 mL and those needing postoperative catheterization for reasons other than IE. Univariate and multivariate analyses were performed. RESULTS A total of 475 (30.6%) cases and 478 controls were identified from 1552 eligible patients. Any catheter use was associated with higher uroflow PVR (71.2 vs 54.1 mL, P = 0.006), lower uroflow maximum flow (19.4 vs 25.4 mL/s, P < 0.001), and less detrusor overactivity (DO) (22.0% vs 28.7%, P = 0.03). Seventy-seven (5.0%) patients used catheters more than 1 week, and 15 patients (1.5%) required sling revision.Factors on multivariate analysis associated with any catheter use include office PVR [odds ratio (OR), 1.004; 1.00-1.008], uroflow maximum flow (OR, 0.96; 0.94-0.98), sling (OR, 2.40; 1.51-3.81), and anterior repair (OR, 1.81; 1.15-2.85). Factors associated with IE more than 1 week include uroflow maximum flow (OR, 0.90; 0.84-0.95), DO (OR, 0.21; 0.05-0.83), sling (OR, 3.68; 1.32-10.20), and uterosacral suspensions (OR, 3.43; 1.23-9.54). CONCLUSIONS Overall, the incidence of short-term catheter use was 31%, prolonged IE more than 1 week was 5%, and 1.5% required sling revision. Sling placement, lower maximum flow, and higher preoperative PVR, anterior repair, and uterosacral ligament suspension are risk factors for IE, and presence of DO is protective.
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- 2018
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17. Multiple system atrophy with prolonged survival: is late onset of dysautonomia the clue?
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Calandra-Buonaura, Giovanna, Guaraldi, Pietro, Sambati, Luisa, Lopane, Giovanna, Cecere, Annagrazia, Barletta, Giorgio, Provini, Federica, Contin, Manuela, Martinelli, Paolo, and Cortelli, Pietro
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ATROPHY , *DYSAUTONOMIA , *NEURODEGENERATION , *PARKINSONIAN disorders , *HEART failure , *PATIENTS , *DIAGNOSIS ,CARDIOVASCULAR disease related mortality - Abstract
Multiple system atrophy (MSA) is a neurodegenerative disease characterised by cardiovascular autonomic failure and/or urinary dysfunctions, associated with parkinsonism, cerebellar and/or corticospinal signs, usually leading to death after an average of 7 years. We describe the disease course of five patients diagnosed with probable MSA (4 with predominant parkinsonism and 1 with predominant cerebellar ataxia) who survived for more than 15 years and were followed throughout the disease course at our department. Cardiovascular autonomic dysfunction of any severity occurred late (mean latency from disease onset 9.4 ± 5 years) in this subgroup of MSA patients. The time of involvement of the urogenital system was more variable (from 0 to 14 years after disease onset) and manifested with symptoms of storage disorders (urinary urgency, frequency and incontinence) and erectile dysfunction in men. Conversely complains suggestive of urinary voiding dysfunction (incomplete bladder emptying and urinary retention) were not recorded and patients required catheterization only late in the disease course. In conclusion, our study showed that late onset of both cardiovascular autonomic failure and urinary voiding disorders may be positive prognostic factors in MSA irrespective of the MSA subtype. [ABSTRACT FROM AUTHOR]
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- 2013
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18. Effects of electroacupuncture on recent stroke inpatients with incomplete bladder emptying: a preliminary study.
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Kuo-Wei Yu, Chien-Lin Lin, Chun-Chuang Hung, Eric Chieh-Lung Chou, Yueh-Ling Hsieh, Te-Mao Li, and Li-Wei Chou
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BLADDER diseases ,STROKE ,URINARY catheterization ,URINARY tract infections ,ELECTROACUPUNCTURE - Abstract
Background: Incomplete bladder emptying (IBE) is defined as having a postvoid residual (PVR) urine volume greater than 100 mL for 2 consecutive days. IBE is common in stroke patients and could necessitate indwelling or intermittent catheterization. The condition is correlated with urinary tract infections, which could impede rehabilitation progress and increase medical costs. Treatment for patients with IBE includes bladder retraining, biofeedback, medication, and botulinum toxin injection, but none of these interventions are completely effective. Methods: All patients with acute stroke who were admitted to the rehabilitation ward between August 2010 and April 2011 were included in the study and their PVR urine volume was checked. Electroacupuncture (EA; 1 Hz, 15 minutes) was performed on the acupoints Sanyinjiao (SP6), Ciliao (BL32), and Pangguangshu (BL28) of stroke patients with IBE for a total of ten treatments (five times a week for 2 weeks). Bladder diaries, which included the spontaneous voiding and PVR urine volumes, were recorded during the course of treatment. Results: The presence of IBE was not related to sex, history of diabetes mellitus, stroke type (hemorrhagic or ischemic), or stroke location (P > 0.05). Among the 49 patients in the study, nine (18%) had IBE, and seven of the stroke patients with IBE were treated with EA. Increased spontaneous voiding volume and decreased PVR urine volume were noted after ten sessions of EA. Conclusion: EA may have beneficial effects on stroke survivors with IBE, thereby making it a potential safe modality with which to improve urinary function. [ABSTRACT FROM AUTHOR]
- Published
- 2012
- Full Text
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19. Clean intermittent catheterization and self-catheterization.
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Wilson, Mary C. R.
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BLADDER physiology , *CATHETERIZATION , *URINARY catheterization , *URINARY organ abnormalities , *NEUROGENIC bladder , *NEUROLOGIC manifestations of general diseases , *THERAPEUTIC complications , *PREVENTION , *THERAPEUTICS - Abstract
Intermittent catheterization (IC) is a widely used technique for emptying the bladder, first recorded in 1000 BCE. This article describes the normal anatomy and physiology of bladder filling and emptying, and discusses the reasons why emptying may be incomplete. Incomplete emptying usually has a neurogenic or obstructive cause, leading to symptoms such as frequency, urge incontinence and urinary tract infection. IC may be carried out for several reasons: as an acute intervention for transitory problems with bladder emptying; to enable the instillation of drugs into the bladder; or as a long-term intervention where there is a regular post-void residual volume of more than 100 ml. Ideally, the patient intermittently catheterizes his/her own bladder, but a relative or healthcare professional may carry out this task. Some patients have specific requirements and problems, and case studies are presented to illustrate how these problems may be resolved. [ABSTRACT FROM AUTHOR]
- Published
- 2008
20. Definition and symptoms of underactive bladder
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Alan D. Uren and Marcus J. Drake
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medicine.medical_specialty ,Incomplete bladder emptying ,Urology ,Urinary Bladder ,030232 urology & nephrology ,Review Article ,Underactive bladder ,lcsh:RC870-923 ,urologic and male genital diseases ,03 medical and health sciences ,Bladder outlet obstruction ,0302 clinical medicine ,Overactive urinary bladder ,Cost of Illness ,Lower Urinary Tract Symptoms ,Lower urinary tract symptoms ,Urinary Bladder, Underactive ,medicine ,Nocturia ,Humans ,business.industry ,medicine.disease ,lcsh:Diseases of the genitourinary system. Urology ,Detrusor underactivity ,female genital diseases and pregnancy complications ,Urodynamics ,Centre for Surgical Research ,030220 oncology & carcinogenesis ,Quality of Life ,medicine.symptom ,business ,Urinary stream - Abstract
Underactive bladder (UAB) is a symptom syndrome reflecting the urodynamic observation of detrusor underactivity (DU), a voiding contraction of reduced strength and/or duration, leading to prolonged or incomplete bladder emptying. An International Continence Society Working Group has described UAB as characterised by a slow urinary stream, hesitancy and straining to void, with or without a feeling of incomplete bladder emptying and dribbling, often with storage symptoms. Since DU often coexists with bladder outlet obstruction, or storage dysfunction (detrusor overactivity or incontinence), the exact contribution of the DU to the presenting complaints can be difficult to establish. The presence of voiding and post voiding lower urinary tract symptoms (LUTS) is implicitly expected in UAB, but a reduced sensation of fullness is reported by some patients, and storage LUTS are also an important factor in many affected patients. These may result from a postvoid residual, but often they do not. The storage LUTS are often the key driver in leading the patient to seek healthcare input. Nocturia is particularly common and bothersome, but what the role of DU is in all the range of influences on nocturia has not been established. Qualitative research has established a broad impact on everyday life as a result of these symptoms. In general, people appear to manage the voiding LUTS relatively well, but the storage LUTS may be problematic.
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- 2017
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21. Long-term micturition problems of asymptomatic postpartum urinary retention: a prospective case–control study
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Jan-Peter de Bruin, Erica W. M. Janszen, Joris A. M. van der Post, R. A. Hakvoort, Femke E. M. Mulder, Jan-Paul W. R. Roovers, Other Research, Graduate School, Obstetrics and Gynaecology, Other departments, Amsterdam Reproduction & Development (AR&D), and APH - Aging & Later Life
- Subjects
Adult ,Micturition symptoms ,medicine.medical_specialty ,Urology ,media_common.quotation_subject ,030232 urology & nephrology ,Urination ,Asymptomatic ,03 medical and health sciences ,0302 clinical medicine ,Pregnancy ,Lower urinary tract symptoms ,medicine ,Humans ,Incomplete bladder emptying ,Prospective Studies ,Prospective cohort study ,Netherlands ,media_common ,Gynecology ,030219 obstetrics & reproductive medicine ,business.industry ,Vaginal delivery ,Obstetrics ,Urinary retention ,Case-control study ,Obstetrics and Gynecology ,Post-void residual volume ,Puerperium ,Puerperal Disorders ,Urinary Retention ,medicine.disease ,Postpartum urinary retention ,Case-Control Studies ,Original Article ,Female ,Covert postpartum urinary retention ,medicine.symptom ,business - Abstract
Introduction and hypothesis Covert (asymptomatic) postpartum urinary retention (PUR) is defined as post-void residual volume (PVRV) ≥150 mL. Although often supposed to be a common and harmless phenomenon, no data are available on the potential long-term micturition problems of increased PVRV after vaginal delivery. Methods After the first spontaneous void post-vaginal delivery, PVRV was measured using a portable scanning device. Micturition symptoms were compared using validated questionnaires between women with PVRV
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- 2017
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22. Underactive bladder, detrusor underactivity, definition, symptoms, epidemiology, etiopathogenesis, and risk factors
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Christopher R. Chapple and Reem Aldamanhori
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Male ,medicine.medical_specialty ,Incomplete bladder emptying ,Urology ,Urinary system ,Urinary Bladder ,030232 urology & nephrology ,MEDLINE ,Underactive bladder ,urologic and male genital diseases ,03 medical and health sciences ,0302 clinical medicine ,Quality of life ,Risk Factors ,Internal medicine ,Epidemiology ,Humans ,Medicine ,business.industry ,Incidence (epidemiology) ,Urinary Bladder Diseases ,Urination disorder ,Muscle, Smooth ,Urination Disorders ,medicine.disease ,female genital diseases and pregnancy complications ,Urodynamics ,030220 oncology & carcinogenesis ,Quality of Life ,Female ,business - Abstract
Lower urinary tract symptoms are bothersome and significantly impair patient's quality of life. Incomplete bladder emptying affects both men and women, and has shown to increase in incidence with aging. Incomplete bladder emptying is consequent upon an inability of the detrusor muscle to adequately contract to completely empty the bladder, with or without an increased bladder outlet resistance; this can be defined urodynamically as detrusor underactivity (DUA). The symptom complex consequent upon DUA is referred to as underactive bladder (UAB). Although the occurrence of DUA increases with age, and is commonly encountered in clinical practice, it is a largely unrecognized and consequently under researched condition.In this article, we will highlight the importance of DUA. We will review UAB as currently defined, the symptoms of DUA, its epidemiology, and etiopathogenesis, risk factors for developing DUA, and methods of diagnosis with an up-to-date review of the contemporary literature.DUA and its associated symptoms and signs are still poorly recognized entities. Difficulty and confusion arise in properly diagnosing DUA, as at present it can only be accurately defined on the basis of pressure flow urodynamics. Current attention is focused on validating a satisfactory definition for the syndrome complex of UAB.
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- 2017
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23. Pelvic organ prolapse surgery in elderly patients
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Thomas Fink, Juliane Farthmann, Christopher Wolf, Dirk Watermann, Boris Gabriel, and Haiko Zamperoni
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Pessary ,medicine.medical_specialty ,Incomplete bladder emptying ,Hydronephrosis ,Pelvic Organ Prolapse ,03 medical and health sciences ,Postoperative Complications ,0302 clinical medicine ,medicine ,Humans ,Surgical treatment ,Retrospective Studies ,Aged, 80 and over ,Pelvic organ ,030219 obstetrics & reproductive medicine ,business.industry ,Prolapse surgery ,Obstetrics and Gynecology ,Retrospective cohort study ,General Medicine ,Length of Stay ,Pessaries ,medicine.disease ,humanities ,Surgery ,body regions ,030220 oncology & carcinogenesis ,Urinary Tract Infections ,Female ,Operative risk ,business - Abstract
Pelvic organ prolapse (POP) can cause incomplete bladder emptying or hydronephrosis and renal failure. These are serious conditions, especially in elderly women, requiring resolution of POP. Pessary use is an alternative, but there are specific problems or patients may not want it. We therefore conducted a retrospective study on surgical treatment of elderly women with respect to the type of surgery and intra- and postoperative complications.From two urogynecologic centers, we reviewed treatment data between 2003 and 2013, including patients ≥80 years of age. From the hospital records, intra- and postoperative data were extracted.91 cases met the inclusion criteria. Mean age was 84.38 years (±3.05, max 92 years). Two patients (2.2%) were diagnosed with hydronephrosis and two with urosepsis/renal failure. The mean length of surgery was 81 min (±45 min, range 10-270), 94.5% of patients were under general anesthesia. Two bowel lesions occurred. The mean length of hospital stay was 8 days (range 1-22, n = 90). There were no perioperative mortalities. Six patients (6.6%) were admitted to intensive care unit.In the future, we will be facing a growing number of elderly women seeking care for POP. In our retrospective analysis, we were able to show that POP surgery could be performed safely. We therefore consider surgical treatment as a valuable alternative if pessary use is not an option.
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- 2017
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24. Voiding symptoms obtained by open versus directed anamnesis as predictors of voiding dysfunction in women
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José D. Flores, Juan de Benito, Valentín Manríquez, Juan Pablo Valdevenito, Rodrigo Guzman Rojas, and Leandro Arribillaga
- Subjects
Adult ,medicine.medical_specialty ,Urine stream ,Incomplete bladder emptying ,Urology ,media_common.quotation_subject ,Urinary Bladder ,030232 urology & nephrology ,Urination ,lcsh:RC870-923 ,urologic and male genital diseases ,Likelihood ratios in diagnostic testing ,03 medical and health sciences ,0302 clinical medicine ,Predictive Value of Tests ,Reference Values ,Clinical history ,Surveys and Questionnaires ,Humans ,Medicine ,Women ,Medical History Taking ,Aged ,media_common ,Retrospective Studies ,Aged, 80 and over ,Anamnesis ,business.industry ,Reproducibility of Results ,Retrospective cohort study ,Middle Aged ,lcsh:Diseases of the genitourinary system. Urology ,Urination Disorders ,female genital diseases and pregnancy complications ,Urodynamics ,Urinary Incontinence ,030220 oncology & carcinogenesis ,Female ,Original Article ,business - Abstract
Objectives To determine the differences between voiding symptoms obtained by open anamnesis (VS-Open) versus voiding symptoms obtained by directed anamnesis (VSDirected) to predict voiding dysfunction in women. Materials and methods Retrospective study of women with prior anti-incontinence surgery evaluated during 5 years. In a standardized clinical history taking, each patient was asked to answer question number fi ve of the UDI-6 questionnaire ("Do you experience any difficulty emptying your bladder?"). If the answer was positive, the following voiding symptoms spontaneously described by the patient were documented: slow urine stream, straining to void, intermittent stream and feeling of incomplete bladder emptying, which were considered VS-Open. If the answer to this question was negative or if the patient had not reported the four voiding symptoms, she was asked in a directed manner about the presence of each of them, which were considered VS-Directed. Voiding dysfunction was considered the presence of a maximum fl ow ≤ 12 mL/s and/ or a postvoid residual > 100 mL. Results Ninety-one women are analyzed. Eighteen patients presented voiding dysfunction (19.8%), There was a statistical association between voiding dysfunction and the presence of any VS-Open (p = 0.037) and straining to void obtained by open anamnesis (p = 0.013). Sensitivity, specificity, PPV, NPV, positive likelihood ratio and negative likelihood ratio, respectively, were 44.4% and 27.8%, 80.8% and 94.5%, 36.3% and 55.6%, 85.5% and 84.1%, 2.324 and 5.129, and 0.686 and 0.764. There was no statistical association between voiding dysfunction and VS-Directed. Conclusions VS-Open may predict better voiding dysfunction than VS-Directed in women.
- Published
- 2019
25. MP10-04 POST-OPERATIVE URINARY RETENTION (POUR) SCORE – CAN INCOMPLETE BLADDER EMPTYING AFTER SURGERY BE PREDICTED?
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Robert Medairos, Joy Liu, Sergey Tarima, Zachary J. Prebay, Garrett K. Berger, Halle Foss, and Robert E. O'Connor
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medicine.medical_specialty ,business.industry ,Urinary retention ,Incomplete bladder emptying ,Urology ,Emergency department ,humanities ,Surgery ,Medicine ,Post operative ,medicine.symptom ,business ,Adverse effect ,Hospital stay - Abstract
INTRODUCTION AND OBJECTIVES:Urinary retention is a significant adverse event after surgery which predisposes patients to increased hospital stay and avoidable returns to the Emergency Department. T...
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- 2019
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26. Understanding underactive bladder: a review of the contemporary literature
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Mariana Santos-Pereira and Ana Charrua
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medicine.medical_specialty ,Incomplete bladder emptying ,Review Article ,Underactive bladder ,urologic and male genital diseases ,General Biochemistry, Genetics and Molecular Biology ,03 medical and health sciences ,Bladder outlet obstruction ,0302 clinical medicine ,Animal model ,Lower urinary tract symptoms ,medicine ,lower urinary tract symptoms ,030212 general & internal medicine ,Intensive care medicine ,multifactorial pathogenesis ,business.industry ,animal model ,underactive bladder ,Treatment options ,medicine.disease ,Overactive bladder ,Etiology ,current treatment options ,business ,030217 neurology & neurosurgery - Abstract
Underactive bladder (UAB) is characterized by prolonged voiding, hesitancy, and slow and/or intermittent stream with or without a sensation of incomplete bladder emptying. The overlap of UAB lower urinary tract symptoms with those of overactive bladder or bladder outlet obstruction, as well as its multifactorial etiology, make UAB study, as well as its diagnosis and management, a very arduous and challenging task. Therefore, despite its incidence and significant impact in the quality of life of both men and women, UAB remains a poorly understood urologic condition with insufficient and ineffective treatment options available. In this review, we will focus on the etiology theories that have been proposed and the animal models available to test those theories.
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- 2020
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27. Feeling of incomplete bladder emptying: A definition with clinical implications
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Petros Sountoulides and Wilbert F Mutomba
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medicine.medical_specialty ,business.industry ,Incomplete bladder emptying ,Urology ,media_common.quotation_subject ,MEDLINE ,Sensation ,Urination ,Urinary Retention ,Text mining ,Neurology ,Feeling ,Lower Urinary Tract Symptoms ,Terminology as Topic ,Medicine ,Humans ,business ,Intensive care medicine ,media_common - Published
- 2018
28. Urinary Retention and Voiding Dysfunction
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D. Pape and Victor W. Nitti
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medicine.medical_specialty ,Incomplete bladder emptying ,Genitourinary system ,Urinary retention ,business.industry ,Bladder emptying ,urologic and male genital diseases ,Bladder pressure ,female genital diseases and pregnancy complications ,Bladder outlet obstruction ,medicine ,Normal voiding ,medicine.symptom ,Intensive care medicine ,business - Abstract
The physiology of voiding is intricate and complex, and there is vast potential for disruption of normal voiding patterns. For adequate bladder emptying to take place, the bladder needs to generate a pressure of adequate strength and duration to overcome the resistance set by the outlet. Disruption in the generation of the bladder pressure required, or of the outlet to allow passage of urine, will result in incomplete bladder emptying. Underlying these pathophysiological processes is the gateway for proper development of new therapies. It is important to have a solid knowledge of terminology applied to the genitourinary tract for purposes of reporting results and developing treatment guidelines.
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- 2018
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29. Can feeling of incomplete bladder emptying reflect significant postvoid residual urine? Is it reliable as a symptom solely?
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Aykut Başer, Onur Yapici, Ali Ersin Zumrutbas, Yusuf Özlülerden, Cihan Toktaş, Zafer Aybek, and Mehmet Caner Gulten
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Male ,Urination disorders ,correlation analysis ,030232 urology & nephrology ,Urine ,heart disease ,lcsh:RC870-923 ,0302 clinical medicine ,middle aged ,cholinergic receptor blocking agent ,lower urinary tract symptom ,pathophysiology ,media_common ,Ultrasonography ,030219 obstetrics & reproductive medicine ,urinary urgency ,non insulin dependent diabetes mellitus ,alpha adrenergic receptor blocking agent ,adult ,Age Factors ,drug therapy ,aged ,female ,Feeling ,antihypertensive agent ,steroid 5alpha reductase inhibitor ,Original Article ,medicine.symptom ,nocturia ,medicine.medical_specialty ,hypertension ,Incomplete bladder emptying ,diagnostic imaging ,Urology ,media_common.quotation_subject ,Lower Urinary Tract Dysfunction ,Sensation ,Urination ,Subgroup analysis ,self report ,psychology ,Article ,urine retention ,03 medical and health sciences ,Sex Factors ,Lower Urinary Tract Symptoms ,Lower urinary tract symptoms ,Internal medicine ,medicine ,Humans ,human ,postvoid residual urine volume ,micturition ,Urinary retention ,business.industry ,questionnaire ,disease association ,Urination disorder ,echography ,antidiabetic agent ,Urinary Retention ,lcsh:Diseases of the genitourinary system. Urology ,medicine.disease ,major clinical study ,eye diseases ,comorbidity assessment ,patient history of surgery ,age ,sex factor ,physiology ,impaired bladder emptying ,observational study ,sense organs ,business ,chronic obstructive lung disease - Abstract
Purpose: The main objective of this study was to reveal the relationship between lower urinary tract symptoms (LUTS) and postvoid residual (PVR) urine volume. Materials and Methods: Between October 2014 and February 2015, older than 40 years patients were included in this study. Volunteers filled out a questionnaire consisted of demographic characteristics, comorbidities, medications, history of surgery and LUTS. Volunteers were undergone PVR measurement with transabdominal ultrasonography. The relationship between symptoms, demographic characteristics and PVR were analyzed. Results: A total of 939 patients (756 men and 183 women) were enrolled in this study. There was a positive correlation between the sensation of incomplete bladder emptying and PVR volume in all age groups of women (p=0.0001). However such a relationship was found only over the age of 60 in the subgroup analysis of men (p=0.001). PVR volume increased in men by age (0.65 mL per year of age, p=0.011). In men, voiding symptoms and urgency were associated with a high PVR volume. In women, storage and voiding symptoms (except slow stream and terminal dribble) did not correlate with PVR volume. Conclusions: Our study showed that all men over the age of 60 years and all women with the complaint of feeling of incomplete emptying should undergone PVR measurement. Women with the complaint of poor stream and men mainly with voiding symptoms are other candidates in whom PVR measurement would be considered as an important tool in the clinical management and follow-up. © The Korean Urological Association.
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- 2018
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30. Incomplete bladder emptying is associated with febrile urinary tract infections in infants
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Stephen Shei-Dei Yang, Chao-Hsu Lin, Sheng-Kai Chang, and Jeng-Daw Tsai
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Male ,medicine.medical_specialty ,Fever ,Incomplete bladder emptying ,Urology ,Urinary system ,media_common.quotation_subject ,Urination ,urologic and male genital diseases ,Sensitivity and Specificity ,medicine ,Humans ,Pediatric nephrology ,Prospective Studies ,Prospective cohort study ,media_common ,business.industry ,Residual urine ,Curve analysis ,Infant ,Urination disorder ,Urination Disorders ,female genital diseases and pregnancy complications ,ROC Curve ,Urinary Tract Infections ,Pediatrics, Perinatology and Child Health ,Female ,business - Abstract
Objective To investigate lower urinary tract dysfunction in pre-toilet trained infants with and without history of febrile UTI (f-UTI). Materials and Methods Pre-toilet trained infants with f-UTI (Group 1) from pediatric nephrology and urology clinics, and those without f-UTI (Group 2) from infant-care centers were enrolled for the present study. Infants in Group 1 underwent four-hourly (4-H) observations for at least one month after treatment for UTI. Voided volume (VV) and post-void residual urine (PVR) were measured by weighting diaper and suprapubic ultrasound after finishing voiding, respectively. Average PVR was defined as the mean value of PVR during 4-H observation. Interrupted voiding was defined as two or three voidings within 10 min. Voiding efficiency was defined as VV/(VV + PVR). Results The mean ages of Group 1 ( n = 64) and Group 2 infants ( n = 56) were 10.6 ± 7.5 months vs 10.2 ± 5.1 months, respectively ( p = 0.70). Group 1 infants had significantly higher voiding frequency (3.0times ± 1.2 vs 2.6times ± 0.9, p = 0.04), average PVR (14.5 ml ± 14.2 vs 8.9 ml ± 8.8, p p = 0.01) than Group 2. ROC curve analysis showed that the optimal cutoff values for PVR and voiding efficiency to differentiate Group 1 and Group 2 infants were 10 ml and 80%, respectively. Group 1 infants had significantly more repeat elevated PVR (≧ 10 ml) and repeat low voiding efficiency (≦ 80%) than Group 2 (44.8% vs 22.4%, p = 0.03; 62.0% vs 28.6%, p Conclusion Pre-toilet trained infants with f-UTI were associated with elevated PVR and lower voiding efficiency than normal controls.
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- 2014
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31. Practical Catheter Management
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Shirley Budd
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Urethral meatus ,medicine.medical_specialty ,Catheter insertion ,business.industry ,Incomplete bladder emptying ,Foley catheter ,Common method ,urologic and male genital diseases ,female genital diseases and pregnancy complications ,Surgery ,Catheter ,Indwelling catheter ,Medicine ,business ,Bladder drainage - Abstract
Catheters are a common method of bladder drainage for obstructive voiding or incomplete bladder emptying. Presuming that a clinical rationale has been proven identifying that a Foley catheter has been assessed as the best method for bladder drainage, this chapter will identify evidence-based practical ideas to support management of the problematic indwelling catheter. This includes explanations and solutions to catheter-associated UTI (CAUTI), bypassing and expelled catheters, the non-draining catheter including catheter encrustation, pain associated with catheters and general problems associated with catheter insertion and removal. Practice that is advised and not advised is detailed.
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- 2016
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32. Constipation is associated with incomplete bladder emptying in healthy children
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Stephen Shei-Dei Yang, Shang-Jen Chang, and Cheng-Hsing Hsieh
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medicine.medical_specialty ,Constipation ,Urinary retention ,Incomplete bladder emptying ,business.industry ,Urology ,Residual urine ,Urination disorder ,Retrospective cohort study ,Surgery ,Bristol stool scale ,Internal medicine ,medicine ,Defecation ,Neurology (clinical) ,medicine.symptom ,business - Abstract
Purpose To investigate the association between constipation and the results of uroflowmetry with post-void residual urine (PVR) tests in healthy children. Materials and Methods We enrolled healthy children aged between 4 and 12 years for evaluation of voiding and defecation function. A parent of children completed the questionnaire, and the children were asked to do uroflowmetry and PVR. Constipation is defined as defecation frequency ≤2 times/week or type 1–2 stool forms on Bristol stool scale. Uroflowmetry curve and PVR were eligible for analysis if voided volume was between 50 ml and expected capacity for age. Results Totally, 778 children (415 boys and 363 girls) with a mean age of 7.2 ± 2.2 years were eligible for analysis. The prevalence of constipation was 10.9% by low defecation frequency, and 28.4% by Bristol stool scale, respectively. Regarding the rate of constipation, there were no statistically significant differences between genders. Compared to children without low defecation frequency, constipated children had higher PVR (9.0 vs. 5.9 ml, P = 0.01), higher rate of PVR > 20 ml (17.7% vs. 7.1%, P = 0.01) and lower voiding efficiency (93.2% vs. 94.9%, P = 0.04). Compared to children without type 1–2 Bristol stool, constipated children did not have higher PVR (7.2 ml vs. 5.8 ml, P = 0.10), nor lower voiding efficiency (94.0% vs. 95.0%, P = 0.11). Urgency symptom score and rate of abnormal flow patterns were comparable between children with or without constipation. Conclusion Constipation defined as low defecation frequency was associated with incomplete bladder emptying in healthy children. Neurourol. Urodynam. 31:105–108, 2012. © 2011 Wiley Periodicals, Inc.
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- 2011
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33. Teaching patients clean intermittent self-catheterisation prior to anti-incontinence or prolapse surgery: is it necessary in women with obstructive voiding dysfunction?
- Author
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Fayez T. Hammad, Hassan M. Elbiss, and Paul Moran
- Subjects
Intermittent Urethral Catheterization ,Nephrology ,medicine.medical_specialty ,Incomplete bladder emptying ,Urology ,Urinary system ,Pelvic Organ Prolapse ,Patient Education as Topic ,Risk Factors ,Internal medicine ,medicine ,Humans ,Suburethral Slings ,business.industry ,Incidence (epidemiology) ,Prolapse surgery ,Middle Aged ,Urinary Retention ,Surgery ,Self Care ,Clinical trial ,Urodynamics ,Urinary Incontinence ,Preoperative Period ,Self care ,Female ,business - Abstract
To determine the value of pre-operative teaching of clean intermittent self-catheterisation (CISC) in women who undergo anti-incontinence and/or prolapse surgery and who are at ‘high risk’ to have post-operative incomplete bladder emptying. Out of the 402 patients who underwent anti-incontinence and/or prolapse surgery at our institute (March 2008–March 2009), 48 patients had at least one obstructive lower urinary tract symptom and one obstructive urodynamic parameter before surgery and were considered at ‘high risk’ to have post-operative incomplete bladder emptying. They were taught CISC pre-operatively. Out of the 48 patients, 7 (14.6%) had incomplete bladder emptying. The incidence of post-operative incomplete bladder emptying was higher in the older women (P
- Published
- 2011
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34. Re: Risk Factors for Incomplete Bladder Emptying after Midurethral Sling
- Author
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Alan J. Wein
- Subjects
medicine.medical_specialty ,Sling (implant) ,Incomplete bladder emptying ,business.industry ,Urology ,medicine ,business - Published
- 2014
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35. Overactive bladder symptoms in women with incomplete bladder emptying
- Author
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S. Sadovic, M. Hasanbegović, S. Perla, M. Hiros, and J. Kovačević-Prstojević
- Subjects
medicine.medical_specialty ,Overactive bladder ,business.industry ,Incomplete bladder emptying ,Urology ,Medicine ,business ,medicine.disease - Published
- 2018
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36. Incomplete bladder emptying in frail older adults: a clinical conundrum
- Author
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Joan Ostaszkiewicz
- Subjects
medicine.medical_specialty ,Nursing (miscellaneous) ,Evidence-based practice ,Incomplete bladder emptying ,business.industry ,Urology ,Residual urine ,Frail Older Adults ,Context (language use) ,medicine.disease ,Clinical decision making ,Nephrology ,Lower urinary tract symptoms ,medicine ,Clinical significance ,Intensive care medicine ,business - Abstract
This paper reviews the evidence on incomplete bladder emptying in frail older adults. It argues the case for interpreting the clinical significance of postvoid residual urine in this group of individuals with caution and in context to avoid either under- or overtreatment.
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- 2007
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37. Management of Bladder Diverticula in Menkes Syndrome: A Case Report and Review of the Literature
- Author
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Kristi Hebert and Aaron D. Martin
- Subjects
Male ,medicine.medical_specialty ,Life span ,business.industry ,Incomplete bladder emptying ,Urology ,Copper metabolism ,Urinary system ,Urinary Bladder ,Large bladder ,Genetic disorder ,Disease Management ,Infant ,medicine.disease ,digestive system ,Vesicoureteral reflux ,digestive system diseases ,Surgery ,Diverticulum ,medicine ,Humans ,business ,Menkes' syndrome ,Menkes Kinky Hair Syndrome - Abstract
Menkes syndrome is a genetic disorder of copper metabolism, often with urologic complications, including bladder diverticula and vesicoureteral reflux. A 1-year-old boy with Menkes syndrome presented with recurrent urinary tract infections and incomplete bladder emptying secondary to 2 large bladder diverticula. He underwent robot-assisted excision of both diverticula with subsequent improved emptying and resolution of urinary tract infections. There is no consensus on management of bladder diverticula in Menkes syndrome. Because the life span of these patients is significantly shortened, one must select an intervention based on their clinical condition, potential morbidities, and informed expectations of the family.
- Published
- 2015
38. Underactive bladder syndrome
- Author
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Deborah Rigby
- Subjects
Male ,medicine.medical_specialty ,Incomplete bladder emptying ,business.industry ,Urinary Bladder ,Urinary Bladder Diseases ,General Medicine ,Urine ,Patient assessment ,Underactive bladder ,urologic and male genital diseases ,medicine.disease ,female genital diseases and pregnancy complications ,Diagnosis, Differential ,Clinical Protocols ,Quality of Life ,medicine ,Physical therapy ,Humans ,Female ,Urinary Catheterization ,Intensive care medicine ,business - Abstract
Underactive bladder syndrome causes difficulty in voiding, resulting in incomplete bladder emptying. This article describes common causes of the condition, patient assessment and the available management options.
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- 2005
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39. Diagnosis and management of patients with overactive bladder syndrome and abnormal detrusor activity
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Michelle J. Semins and Michael B. Chancellor
- Subjects
Detrusor muscle ,medicine.medical_specialty ,Urinary urgency ,Incomplete bladder emptying ,business.industry ,Urology ,Urinary Bladder ,Muscle, Smooth ,Urinary incontinence ,Syndrome ,General Medicine ,Underactive bladder ,urologic and male genital diseases ,medicine.disease ,Overactive bladder syndrome ,female genital diseases and pregnancy complications ,Urinary Incontinence ,medicine.anatomical_structure ,medicine ,Etiology ,Humans ,Nocturia ,medicine.symptom ,business - Abstract
Overactive bladder syndrome (OABS) is a widely recognized syndrome with symptoms that can include urinary urgency, frequency, nocturia, and incontinence. Although there may be several causative factors for OABS, detrusor overactivity is the most common. In addition, urinary incontinence can also be due to a distinct but equally bothersome condition underactive bladder syndrome, or detrusor underactivity. The incomplete bladder emptying that characterizes detrusor underactivity often arises from impaired contractile function of the detrusor muscle. The variations in etiologies of the two syndromes necessitate patient evaluations tailored to individual symptom presentation. Increased awareness of the differences between the manifestations of OABS and underactive bladder syndrome call for specific approaches to the management of bladder dysfunction.
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- 2004
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40. Study of Factors Associated with Incomplete Bladder Emptying in Older Women
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Fatih Sumer, Busra Canbaz, Gunes Arik, Gozde Sengul Aycicek, Zekeriya Ulger, and Ozgur Kara
- Subjects
medicine.medical_specialty ,Incomplete bladder emptying ,business.industry ,Urinary retention ,Urology ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,0302 clinical medicine ,Text mining ,030220 oncology & carcinogenesis ,Medicine ,Geriatrics and Gerontology ,medicine.symptom ,business - Published
- 2016
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41. Transvaginal sling release with intraoperative ultrasound guidance
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Marium S. Mukati and S. Abbas Shobeiri
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medicine.medical_specialty ,Sling (implant) ,Incomplete bladder emptying ,Urology ,Urinary incontinence ,Intraoperative ultrasound ,Medicine ,Humans ,Device Removal ,Ultrasonography, Interventional ,Aged ,Suburethral Slings ,Intraoperative Care ,business.industry ,Ultrasound ,Obstetrics and Gynecology ,Surgery ,Ultrasound guidance ,medicine.anatomical_structure ,Urethra ,Vagina ,Female ,Radiology ,medicine.symptom ,business - Abstract
Introduction Visualization of a midurethral sling may be challenging intraoperatively, especially if the sling is deep, well healed, not in the usual location, or made of materials that are not colored. Case We present the case of a 71-year-old woman presenting with a history of incomplete bladder emptying and debilitating voiding dysfunction documented by uroflowmetry and postvoid residual after a tension-free vaginal tape placement. Medications in addition to attempts to dilate her urethra failed to provide her with adequate relief. Intraoperative 3-dimensional ultrasound guidance was used to transect the sling that was otherwise unable to be localized with examination alone. Conclusions Surgical transection of a tension-free vaginal tape can be safely performed under the guidance of ultrasound. At her 12-month follow-up visit, the patient did not have urinary incontinence or voiding dysfunction.
- Published
- 2013
42. Leiomyoma of the bladder
- Author
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Pallon Daruwalla, Okwudili Emmanuel Muoka, and Omorinsola Muoka
- Subjects
medicine.medical_specialty ,Leiomyoma ,business.industry ,Incomplete bladder emptying ,Renal ultrasound ,Urology ,General Medicine ,urologic and male genital diseases ,medicine.disease ,female genital diseases and pregnancy complications ,Article ,Neck of urinary bladder ,Urinary Bladder Neoplasms ,Lower urinary tract symptoms ,Urological cancer ,Medicine ,Humans ,Female ,Single episode ,business ,Aged - Abstract
A 68-year-old lady normally fit and well who was referred with a history of a single episode of visible haematuria and intermittent lower urinary tract symptoms (LUTS) characterised by frequency, urgency and feeling of incomplete bladder emptying. She was investigated with a renal ultrasound which …
- Published
- 2013
43. Multiple system atrophy with prolonged survival: is late onset of dysautonomia the clue?
- Author
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Giorgio Barletta, Pietro Cortelli, Giovanna Calandra-Buonaura, Giovanna Lopane, Manuela Contin, Luisa Sambati, Paolo Martinelli, Pietro Guaraldi, Annagrazia Cecere, Federica Provini, G. Calandra-Buonaura, P. Guaraldi, L. Sambati, G. Lopane, A. Cecere, G. Barletta, F. Provini, M. Contin, P. Martinelli, and P. Cortelli
- Subjects
Male ,MULTIPLE SYSTEM ATROPHY ,medicine.medical_specialty ,Urinary urgency ,Late onset ,Dermatology ,Primary Dysautonomias ,Gastroenterology ,Atrophy ,Internal medicine ,medicine ,Humans ,Incomplete bladder emptying ,Longitudinal Studies ,Age of Onset ,Pure autonomic failure ,Aged ,Retrospective Studies ,Cerebellar ataxia ,Orthostatic hypotension ,business.industry ,Parkinsonism ,Dysautonomia ,General Medicine ,medicine.disease ,Surgery ,Psychiatry and Mental health ,Disease Progression ,Female ,Neurology (clinical) ,medicine.symptom ,business ,Voiding Disorders - Abstract
Multiple system atrophy (MSA) is a neurodegenerative disease characterised by cardiovascular autonomic failure and/or urinary dysfunctions, associated with parkinsonism, cerebellar and/or corticospinal signs, usually leading to death after an average of 7 years. We describe the disease course of five patients diagnosed with probable MSA (4 with predominant parkinsonism and 1 with predominant cerebellar ataxia) who survived for more than 15 years and were followed throughout the disease course at our department. Cardiovascular autonomic dysfunction of any severity occurred late (mean latency from disease onset 9.4 ± 5 years) in this subgroup of MSA patients. The time of involvement of the urogenital system was more variable (from 0 to 14 years after disease onset) and manifested with symptoms of storage disorders (urinary urgency, frequency and incontinence) and erectile dysfunction in men. Conversely complains suggestive of urinary voiding dysfunction (incomplete bladder emptying and urinary retention) were not recorded and patients required catheterization only late in the disease course. In conclusion, our study showed that late onset of both cardiovascular autonomic failure and urinary voiding disorders may be positive prognostic factors in MSA irrespective of the MSA subtype.
- Published
- 2013
44. 822 CONSTIPATION IS ASSOCIATED WITH INCOMPLETE BLADDER EMPTYING IN HEALTHY CHILDREN
- Author
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Stephen Shei-Dei Yang and Shang-Jen Chang
- Subjects
medicine.medical_specialty ,Constipation ,business.industry ,Incomplete bladder emptying ,Urology ,Internal medicine ,medicine ,medicine.symptom ,business ,Gastroenterology - Published
- 2011
- Full Text
- View/download PDF
45. The role of alpha blockers in children with dysfunctional voiding
- Author
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Paul F. Austin
- Subjects
medicine.medical_specialty ,Incomplete bladder emptying ,Urinary system ,Dysfunctional voiding ,Urology ,Adult population ,adrenergic alpha-antagonists ,lcsh:Medicine ,Alpha (ethology) ,Review Article ,urologic and male genital diseases ,lcsh:Technology ,General Biochemistry, Genetics and Molecular Biology ,urination disorders ,Medicine ,Humans ,lcsh:Science ,General Environmental Science ,child ,lcsh:T ,business.industry ,lcsh:R ,General Medicine ,female genital diseases and pregnancy complications ,Treatment Outcome ,Anesthesia ,lcsh:Q ,Alpha blocker ,business ,Voiding Disorders ,Pediatric population - Abstract
Incomplete bladder emptying or dysfunctional voiding is a common lower urinary tract dysfunction encountered in children. Alpha blocker therapy is used to facilitate bladder emptying in the adult population and has likewise been applied to the pediatric population. Alpha blocker therapy seems well tolerated in children and appears efficacious towards improving bladder emptying in a variety of pediatric voiding disorders. Long-term follow-up and further investigation are warranted in order to validate the role of alpha blocker therapy in pediatric dysfunctional voiding.
- Published
- 2009
46. Ensuring patient adherence to clean intermittent self-catheterization
- Author
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Jai Seth, Jalesh N. Panicker, and Collette Haslam
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Pathology ,medicine.medical_specialty ,Clean intermittent self-catheterization ,Incomplete bladder emptying ,business.industry ,barriers ,Health Policy ,clean intermittent self-catheterization ,Bladder emptying ,Medicine (miscellaneous) ,Review ,compliance ,catheters ,Patient performance ,medicine ,adherence ,Intensive care medicine ,business ,Pharmacology, Toxicology and Pharmaceutics (miscellaneous) ,Social Sciences (miscellaneous) ,Urethral catheter - Abstract
Patient performance of clean intermittent self-catheterization is a crucial component of the management of incomplete bladder emptying, which can arise from a variety of conditions. This allows patients to have more control over their bladder emptying, and avoids the inconveniences that come with an indwelling urethral catheter. There are, however, barriers that patients face when performing this task which may ultimately limit adherence. In this article, these barriers are discussed in more detail with potential solutions to counter them., Video abstract
- Published
- 2014
- Full Text
- View/download PDF
47. The value of the Kurtzke Functional Systems Scales in predicting incomplete bladder emptying
- Author
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K Kirchhof and CJ Fowler
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Adult ,Male ,medicine.medical_specialty ,Multiple Sclerosis ,Incomplete bladder emptying ,media_common.quotation_subject ,Urology ,Pyramidal Tracts ,Residual ,Urination ,Disability Evaluation ,Predictive Value of Tests ,medicine ,Humans ,Paralysis ,Urinary Bladder, Neurogenic ,Residual volume ,media_common ,Urinary volume ,business.industry ,Residual urine ,General Medicine ,Middle Aged ,Functional system ,Surgery ,Predictive factor ,Paresis ,Neurology ,Female ,Neurology (clinical) ,business - Abstract
Study design: A field study was conducted in 40 patients with multiple sclerosis (MS) by comparing their residual urine volumes with the Kurtzke Functional Systems Scales for pyramidal (PFS) or bladder functions (BFS). Objectives: To determine whether raised residual urine volumes necessitating intermittent self catheterisation can be predicted by the PFS or BFS. Setting: Department of Uro-Neurology, The National Hospital for Neurology and Neurosurgery, University College London Hospitals Trust, London, UK. Methods: In 40 patients with MS, post micturition residual volumes were measured with ultrasound prior to any treatment of bladder dysfunction. The patients' symptoms were assessed using PFS and BFS. Correlation between PFS, BFS and post micturition residual volumes were calculated as were sensitivity and specificity of PFS and BFS in predicting incomplete bladder emptying with residuals above 100 ml. Results: None of the patients with a PFS or BFS of 0 or 1 had a residual of more than 100 ml. There was a linear progression of maximal residuals with PFS and BFS. Correlation between PFS (BFS) and the post micturition residual volumes was 0.37 (0.71). Conclusion: Unless a patient with MS has a PFS or BFS of greater than 1 they are unlikely to have incomplete bladder emptying with post micturition residual volumes above 100 ml. With PFS of BFS greater than 1 measurement of the post voiding residual volume is mandatory.
- Published
- 2000
48. Recurrent urinary tract infections and genitourinary tract abnormalities in the Imerslund-Gräsbeck syndrome
- Author
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Claudio Sandoval, Somasundaram Jayabose, Pat Bolten, Israel Franco, and Susan J. Freeman
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Male ,medicine.medical_specialty ,Incomplete bladder emptying ,Urinary system ,Distal Urethra ,Urology ,Urinary excretion ,Malabsorption Syndromes ,medicine ,Humans ,Vitamin B12 ,Child ,business.industry ,Genitourinary system ,Residual urine ,Infant ,Vitamin B 12 Deficiency ,Hematology ,Syndrome ,Surgery ,Imerslund-Grasbeck syndrome ,Oncology ,Urogenital Abnormalities ,Pediatrics, Perinatology and Child Health ,Urinary Tract Infections ,Female ,business - Abstract
Two Imerslund-Grasbeck patients who presented with recurrent urinary tract infections and genitourinary abnormalities are described. The patients were evaluated with abdominal ultrasounds, voiding cystourethrograms, and Schilling tests. Each patient had large postvoid residual urine secondary to a motor-neurogenic bladder. One had a duplication of the distal urethra manifesting as two meatal openings. There was lack of urinary excretion of radioactive vitamin B12 on Schilling tests in both patients. Patients with Imerslund-Grasbeck syndrome may be predisposed to urinary tract infections because of incomplete bladder emptying. Complete physical and radiological examinations of the genitourinary tract should be performed.
- Published
- 2000
49. Urinary Incontinence in the Elderly
- Author
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Larry Sirls and Thomas Rashid
- Subjects
medicine.medical_specialty ,Incomplete bladder emptying ,Increased urinary frequency ,External anal sphincter ,business.industry ,medicine ,Urology ,Nocturia ,Urinary incontinence ,medicine.symptom ,urologic and male genital diseases ,business ,female genital diseases and pregnancy complications - Abstract
Urinary incontinence, a common and troublesome manifestation of voiding dysfunction in the elderly, must be viewed as a single symptom within the spectrum of bladder dysfunction. Other symptoms of such dysfunction include urgency, increased urinary frequency, nocturia, slow stream, hesitancy, feeling of incomplete bladder emptying, etc. Abnormalities in the voiding cycle may range from those that simply annoy patients to the severe and disabling.
- Published
- 2000
- Full Text
- View/download PDF
50. Assessment of urodynamic and detrusor contractility variables in patients with overactive bladder syndrome treated with botulinum toxin-A: is incomplete bladder emptying predictable?
- Author
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E.S. Rovner
- Subjects
medicine.medical_specialty ,business.industry ,Incomplete bladder emptying ,Detrusor contractility ,Urology ,medicine ,In patient ,business ,Overactive bladder syndrome ,Botulinum toxin a - Published
- 2009
- Full Text
- View/download PDF
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