The aim of this study is to explore the relationship between measured postvoid residual urine volumes (PVR) and self-reported bother from obstructive voiding symptoms (OS) using a retrospective chart review of patients presenting to our clinic from 2004 to 2005. Demographic, primary clinical diagnoses, PVR, and responses to the short form of the Pelvic Floor Distress Inventory (PFDI-20) were recorded. We considered a PVR > 150 ml to be elevated or consistent with urinary retention. We used Spearman's for correlations and Mann-Whitney test for independent groups. Six hundred thirty-six patients were included in the study. Individual PFDI-20 items, which inquire about obstructive voiding symptoms, had poor sensitivity (13-57%) and specificity (18-38%) for elevated PVR. Using logistic regression, age (beta = 0.04, p < 0.001) and stage > or = III prolapse (beta = 0.78, p < 0.05) were predictive factors for elevated PVR. Obstructive voiding symptoms have poor sensitivity and specificity for elevated PVR in women with pelvic floor disorders.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1007/s00192-007-0530-6 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Postvoid Residual Volume Correlates With Bladder Outlet Obstruction and Not With Detrusor Contraction Strength Parameters in Women: A Matched Case-Control Study.
Int Neurourol J
December 2024
Department of Urology, Moinhos de Vento Hospital, Porto Alegre, Brazil.
Purpose: To compare voiding parameters in women with and without increased postvoid residual (PVR) volume, to correlate these parameters with PVR volume and PVR percentage, and to describe their ability to predict an increased PVR volume.
Methods: Retrospective cross-sectional study of urodynamics data prospectively acquired from consecutive symptomatic women over a 5-year period. Patients with spinal cord disorders and with abdominal straining during voiding (abdominal pressure ≥10 cm H2O over baseline at maximum flow rate [Qmax]) were excluded.
Primary bladder neck obstruction in females: Case series from the Indonesian population.
Int J Surg Case Rep
December 2024
Department of Urology, Faculty of Medicine, Airlangga University, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.
Introduction: Primary bladder neck obstruction (PBNO) is a rare but significant cause of BOO and LUTS in females, with unclear etiology involving theories of fibrotic narrowing, tissue hyperplasia, or muscle abnormalities. Due to nonspecific symptoms, PBNO diagnosis remains challenging, and optimal surgical treatment needs to be better defined.
Case Presentation: We report two cases of females in their 50s with recurrent urinary retention managed by indwelling catheters.
Functional outcomes of single-session holmium laser enucleation of the prostate and high-intensity focused ultrasound in management of patients with prostate cancer and enlarged prostate: results from a pilot study.
World J Urol
December 2024
Desai Sethi Urology Institute, University of Miami Miller School of Medicine, 1120 NW 14th Street, Miami, FL, 33136, USA.
Purpose: In patients with prostate cancer (PCa), focal therapy with High-Intensity Focused Ultrasound (HIFU) combined with benign prostatic hyperplasia (BPH) surgery has been used to improve immediate post-operative voiding symptoms. Our study aimed to evaluate the functional outcomes of patients undergoing simultaneous holmium laser enucleation of the prostate (HoLEP) + HIFU and compare them to those who underwent HoLEP for bladder outlet obstruction secondary to BPH.
Methods: We performed retrospective review of patients who underwent HoLEP + HIFU or HoLEP between June 2017 and May 2024.
Acupuncture at Weizhong (BL40) attenuates acetic acid-induced overactive bladder in rats by regulating brain neural activity through the modulation of mast cells and tibial nerves.
J Integr Med
December 2024
Department of Acupuncture and Moxibustion, Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200071, China. Electronic address:
Objective: The present study evaluated the effects of deep acupuncture at Weizhong acupoint (BL40) on bladder function and brain activity in a rat model of overactive bladder (OAB), and investigated the possible mechanisms around the acupuncture area that initiate the effects of acupuncture.
Methods: Adult female Sprague-Dawley rats were randomly divided into six groups, comprising a control group, model group, group treated with deep acupuncture at BL40, group treated with shallow acupuncture at BL40, group treated with acupuncture at non-acupoint next to BL40, and group treated with acupuncture at Xuanzhong (GB39). Urodynamic evaluation was used to observe the urination, and functional magnetic resonance imaging was used to observe the brain activation.
Automated detection of posterior urethral valves in voiding cystourethrography images: A novel AI-Based pipeline for enhanced diagnosis and classification.
Comput Biol Med
December 2024
Urology Division, Surgery Department, Sidra Medicine, Qatar; College of Medicine, Qatar University, Doha, Qatar; Weill Cornell Medicine Qatar, Doha, Qatar. Electronic address:
Introduction: Posterior Urethral Valves (PUV) are rare congenital anomalies of the male urinary tract that can lead to urethral obstruction and increased risk of kidney disease. Traditional diagnosis relies on subjective interpretation of imaging techniques. This study aimed to automate and increase accuracy of PUV detection in voiding cystourethrography (VCUG) images using an AI-based pipeline.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!