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

Özlülerden, Yusuf; Toktas, Cihan; Zümrütbaş, Ali Ersin; Gülten, Mehmet Caner; Başer, Aykut; Yapıcı, Onur; Aybek, Zafer

doi:10.4111/icu.2018.59.1.38

Cited by 9 publications

(8 citation statements)

References 17 publications

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“…Only a few other studies to date have examined the association of SIBE and objective bladder emptying in women. A recent study by Ozlulerden et al 11 looked at 183 women presenting with LUTS. While they noted a positive correlation between SIBE and PVR volume, the average PVR volumes were still quite low (~21 ml) and likely of minimal clinical significance.…”

Section: Discussionmentioning

confidence: 99%

Sensation of incomplete bladder emptying in women: Lack of correlation to an elevated post‐void residual

Kuiken

Volkin

Ardines

et al. 2021

Neurourology and Urodynamics

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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.

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Section: Discussionmentioning

confidence: 99%

Sensation of incomplete bladder emptying in women: Lack of correlation to an elevated post‐void residual

Kuiken

Volkin

Ardines

et al. 2021

Neurourology and Urodynamics

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“…In men, it may be caused by various pathologies, such as benign prostate hyperplasia, bladder outlet obstruction, urethral or meatal stricture, underactive bladder, and neurogenic bladder [17]. The PVR volume significantly affects the quality of life due to the fact that increased PVR may reduce functional bladder capacity and cause symptoms of the lower urinary tract [21]. Current studies have shown that it is associated with many complications ranging from a simple lower urinary tract symptom to acute and chronic renal failure [24].…”

Section: Discussionmentioning

confidence: 99%

Increased post-voiding residue and recurrent acute epididymitis: Are they causally related?

Sancı¹,

Süer²

2020

Journal of Surgery and Medicine

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This is an open access article distributed under the terms of the CreativeCommons Attribution-NonCommercial-NoDerivatives License 4.0 (CC BY-NC-ND 4.0) where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. AbstractAim: It is known that recurrent urinary tract infection (rUTI) is associated with increased post-voiding residue (PVR), however, the same relationship is yet to be shown in adults for recurrent acute epididymitis. To the best of our knowledge, there are inadequate studies on this subject and they are mainly focused on the retrograde flow of the infected urine into the ejaculatory duct in terms of pathophysiology. In this study, we aimed to evaluate the causal relationship between recurrent acute epididymitis and increased postvoiding residue. Methods: In this retrospective cohort study, the data of 388 patients who received treatment for epididymitis in our polyclinic between 2015 and 2018 were evaluated to determine that 72 were examined for lower urinary tract symptoms (LUTS). Age, PSA level, Qmax value, uroflowmetric pattern, post-voiding residual volume, International Prostate Symptom Scores (IPSS), and prostate volumes were recorded. Patients were divided into acute (n=38, Group 1) and recurrent acute (n=34, Group 2) epididymitis groups for analysis. The patients in Group 2 were treated for epididymitis at least two times in the last six months or thrice a year. The patients in Group 1 were treated only once in a year. Chi-square (Fisher's exact test) and Student's t-test were used to compare categorical variables. A value of P<0.05 was considered the threshold of statistical significance. Results: Age, PSA level, prostate volume, IPSS score, and peak flow did not significantly differ between the two groups. However, there were significant differences in terms of post-voiding residual urine volumes (P=0.029). The mean post-voiding residual volumes in patients with acute and recurrent acute epididymitis were 47.3 (16.2) ml and 178.2 (23.6) ml, respectively. Conclusion: There is a relationship between increased post-voiding residual urine volume and recurrent acute epididymitis. Patients who present with recurrent acute epididymitis should be scanned for urological pathologies which may cause increased PVR. Öz Amaç: Tekrarlayan idrar yolu enfeksiyonunun artmış rezidü idrar ile ilişkili olduğu biliniyor. Yetişkinlerde tekrarlayan akut epididimit için ise böyle bir durum henüz gösterilmemiş. Bildiğimiz kadarıyla bu konuyla ilgili çok fazla çalışma yok ve bu yapılan kısıtlı sayıdaki çalışmaların çoğunda etyolojide ejekülatör kanala retrograd idrar akışı üzerinde durulmuş. Bu çalışmada tekrarlayan akut epididimit ile artmış rezidü idrar (PVR) arasındaki olası nedensel ilişkiyi incelemeyi amaçladık. Yöntemler: Çalışma retrospektif kohort olarak tasarlandı. 2015-2018 yılları arasında polikliniğimizde epididimit tedavisi gören 388 hastanın verileri retrospektif olarak incelen...

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“…49 Conflicting results have been published on the relationship between the sensation of incomplete voiding and post-voiding residual. 50,51 In addition, the lower urinary tract can distinguish between hot and cold, but this has received little research attention. Nociceptive sensation as pain and the mechanical movement associated with catheters or endoscopes generate sensory information; however, this is not used in sensory evaluation.…”

Section: Other Sensation Evaluationmentioning

confidence: 99%

“…Healthy young men have reported feeling passage of urine through the urethra . Conflicting results have been published on the relationship between the sensation of incomplete voiding and post‐voiding residual . In addition, the lower urinary tract can distinguish between hot and cold, but this has received little research attention.…”

Section: Clinical Investigation Of Bladder Sensationmentioning

confidence: 99%

Should we be revisiting LUT basic science and clinical measurement of LUT sensation to improve patient care? ICI‐RS 2019

McCloskey

Wyndaele

Speich

et al. 2020

Neurourology and Urodynamics

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Aims This article reviews current knowledge of the underpinning mechanisms of how the bladder senses fullness locally and also revisits clinical measurements of lower urinary tract sensation. The former represents cellular sensing during bladder filling whereas the latter describes the sensations leading to conscious perception of bladder fullness. Methods The topic was discussed in a “think tank” session at the 2019 International Consultation on Incontinence—Research Symposium in Bristol, UK; summarized in the present review. Results Recent advances in the basic science of bladder sensing relating to (a) the bladder wall—urothelial cells, sensory nerves, interstitial cells, and smooth muscle cells and (b) putative chemo/mechanosensors in the urethra—paraneurons or “brush cells” are discussed. Validated clinical measurement of lower urinary tract sensation is reviewed in the context of how this could be better harnessed for patient benefit. We discuss the potential of app/tablet/mobile technology based on triggers and distractors to override aberrant local sensing/higher sensation and how these technologies could be utilized in treatment. Conclusions We conclude that a better understanding of bladder sensation is essential to inform clinical management of lower urinary tract symptoms.

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

Cited by 9 publications

References 17 publications

Sensation of incomplete bladder emptying in women: Lack of correlation to an elevated post‐void residual

Sensation of incomplete bladder emptying in women: Lack of correlation to an elevated post‐void residual

Increased post-voiding residue and recurrent acute epididymitis: Are they causally related?

Should we be revisiting LUT basic science and clinical measurement of LUT sensation to improve patient care? ICI‐RS 2019

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