Variability of post-void residual urine volume in the elderly

Griffiths, Derek; Harrison, Gloria M.; Moore, Katherine; McCracken, Peter

doi:10.1007/bf00296729

Cited by 74 publications

(33 citation statements)

References 12 publications

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“…During 24-hour monitoring, residual urine was measured three times, in the afternoon, evening, and early morning, using an ultrasound scanner (Pie Medical 1100). The volume of residual urine given by this method is reproducible except for a diurnal variation, which in this study was averaged out by taking the mean of three observations at di¡erent times of day [Gri¤ths et al, 1996a].…”

Section: Methodsmentioning

confidence: 99%

“…Post-void residual urine is often elevated among elderly patients [Gri¤ths et al, 1992[Gri¤ths et al, , 1996a, and is one aspect of impaired detrusor contractility. The combination of elevated residual urine with urge incontinence is common [Starer and Libow, 1988;Resnick et al, 1989;Malone-Lee, 1992] and presents a challenging clinical problem, because a large residual urine is a relative contraindication for the use of anticholinergic agents.…”

Section: Introductionmentioning

confidence: 99%

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Urge incontinence and impaired detrusor contractility in the elderly

Griffiths

McCracken

Harrison

et al. 2002

Neurourology and Urodynamics

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Among the elderly, both urge incontinence and elevated residual urine are common. When they occur together, they present a challenging clinical problem, called detrusor hyperactivity with impaired contractile function (DHIC). Impaired detrusor contractility has two aspects: elevated post-void residual urine volume and reduced detrusor contraction strength. Geriatric urge incontinence, especially in combination with reduced bladder sensation, is associated with specific cortical abnormalities: frontal and global cortical underperfusion and cognitive impairment. We have investigated, in 73 elderly incontinent patients, whether either aspect of impaired contractility is associated with urge incontinence, reduced sensation or these cortical abnormalities. For post-void residual urine, there are no significant associations. Detrusor contraction strength, however, is significantly increased (not impaired) if there is urge incontinence, reduced bladder sensation, or cortical underperfusion. Thus, DHIC appears to be a coincidental occurrence of two common conditions with different etiological factors.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Urge incontinence and impaired detrusor contractility in the elderly

Griffiths

McCracken

Harrison

et al. 2002

Neurourology and Urodynamics

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“…Bladder capacity was considered reduced when it was less than 350 mL (4). Post voiding residue was considered insignificant to 100 mL (5). Normal flow depends on the age and gender: Males < 40 yr > 22 mL/s, 40-60 yr > 18 mL/s e > 60 yr > 13 mL/s.…”

Section: Methodsmentioning

confidence: 99%

Urinary Symptoms and Urodynamics Findings in Patients with Friedreich's Ataxia

et al. 2013

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Purpose: To assess the prevalence of LUTS, urinary tract and urodynamics changes in patients with Friedreich's Ataxia (FA), the most common form of hereditary ataxia. Materials and Methods:This study evaluated 258 patients with genetically confirmed diagnoses of FA. Of the patients, 158 responded to a questionnaire which assessed their urinary symptoms. Patients with clinical changes underwent renal function examinations, ultrasound, and urodynamic studies (UDS). Results: The sample analyzed showed that 82% of the patients complained of LUTS, although only 22% related the symptoms with quality of life impairment. Twenty eight (18%) of them agreed to undergo urodynamic evaluation. Urgency was the most common symptom. The exam was normal in 4 (14%) and detrusor underactivity was the most common finding. 14% (4 patients) presented with dilatation of the upper urinary tract at ultrasound scans. None of them had creatinine alterations. Conclusions: LUTS was found in a large percentage of patients with FA, but only a few related it to their quality of life impairment. Although creatinine levels was normal in this sample, some patients may show upper urinary tract abnormalities, with deserves close observation and proper care. Urinary Symptoms and Urodynamics Findings in

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“…Eine erhöhte Restharnmenge kann ein Hinweis auf eine Überlaufinkontinenz oder prostatogene Blasenfunktionsstörung sein und sollten durch eine Verlaufskontrolle bestätigt werden [50]. Signifikant hohe Restharnmengen sollten dem Urologen zur weiteren Betreuung überwiesen werden.…”

Section: Restharnmessungunclassified

Urininkontinenz beim Mann – ein Tabuthema

Kozomara-Hocke

Hermanns

Poyet

2016

Praxis

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Male urinary incontinence is an underestimated and frequently not broached issue. The urinary incontinence is divided into stress-, urge incontinence and hybrid forms as well as overflow incontinence. The fact that there are increasingly more men over 60 means that the prevalence of the urinary incontinence is up to 40%, and urinary incontinence will increasingly gain importance in daily routine practice. Many investigations and therapies can be realized by the general practitioner. Already simple therapy approaches can lead to a considerable clinical improvement of male urinary incontinence. If the initial therapy fails or pathological results (i. e. microhaematuria, recurrent urinary tract infections, raised residual urine and so on) are found, the patient should be referred to a urologist. Si la thérapie primaire ne réussit pas à résoudre l'incontinence urinaire ou on trouve des résultats pathologique (hématurie microscopique, infection urinaire récidivé, urine résiduelle augmenté etc.) le patient doit être envoyé chez le spécialiste d'urologie.4

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Variability of post-void residual urine volume in the elderly

Cited by 74 publications

References 12 publications

Urge incontinence and impaired detrusor contractility in the elderly

Urge incontinence and impaired detrusor contractility in the elderly

Urinary Symptoms and Urodynamics Findings in Patients with Friedreich's Ataxia

Urininkontinenz beim Mann – ein Tabuthema

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