Investig Clin Urol.  2018 Jan;59(1):38-43. 10.4111/icu.2018.59.1.38.

Can feeling of incomplete bladder emptying reflect significant postvoid residual urine? Is it reliable as a symptom solely?

• Özlülerden Y
• ToktaÅŸ C
• ZümrütbaÅŸ AE
• Gülten MC
• BaÅŸer A
• Yapıcı O
• Aybek Z

• KMID: 2399263
• DOI: http://doi.org/10.4111/icu.2018.59.1.38

Abstract

PURPOSE
The main objective of this study was to reveal the relationship between lower urinary tract symptoms (LUTS) and post-void 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.

Keyword

Lower urinary tract symptoms; Urination; Urination disorders

MeSH Terms

Comorbidity
Female
Follow-Up Studies
Humans
Lower Urinary Tract Symptoms
Male
Rivers
Sensation
Ultrasonography
Urinary Bladder*
Urination
Urination Disorders
Volunteers

Figure

• 

  Fig. 1 Postvoid residual (PVR) urine volumes (mL) according to the presence of lower urinary tract symptoms (LUTS). *p<0.05.

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