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Erschienen in: International Urogynecology Journal 12/2012

01.12.2012 | Original Article

Determination of postvoid residual by translabial ultrasound

verfasst von: H. P. Dietz, D. Velez, K. L. Shek, A. Martin

Erschienen in: International Urogynecology Journal | Ausgabe 12/2012

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Abstract

Introduction and hypothesis

Urogynaecological assessment routinely includes determination of postvoid residual urine volume (PVR). This study was designed to generate a formula for determining PVR by translabial ultrasound (US).

Methods

This was an observational study using imaging data obtained during urodynamic testing between July 2009 and November 2010. Bladder dimensions were determined by translabial US (midsagittal plane) and blinded against PVR on catheterisation. The relationship between PVR and bladder dimensions was modelled using linear regression. Predictive performance was quantified using Pearson’s correlation and R 2 statistic.

Results

In 207 individuals, 243 PVRs were obtained by catheterisation (0–650 ml). An optimal regression model comprised the product of height and depth US measurements and a coefficient of 5.59 [95 % confidence interval (CI): 5.41–5.76, p < 0.0001)] This regression equation yielded an R 2 = 0.94; Pearson’s correlation was 0.97.

Conclusions

Translabial US is a convenient and accurate method for measuring PVR. We propose the formula height × depth × 5.6 = postvoid residual in millilitres.
Literatur
1.
Zurück zum Zitat Mainprize TC, Drutz HP (1989) Accuracy of total bladder volume and residual urine measurements: comparison between real-time ultrasonography and catheterization. Am J Obstet Gynecol 160(4):1013–1016PubMed Mainprize TC, Drutz HP (1989) Accuracy of total bladder volume and residual urine measurements: comparison between real-time ultrasonography and catheterization. Am J Obstet Gynecol 160(4):1013–1016PubMed
2.
Zurück zum Zitat Haylen BT (1989) Verification of the accuracy and range of transvaginal ultrasound in measuring bladder volumes in women. Br J Urol 64(4):350–352PubMedCrossRef Haylen BT (1989) Verification of the accuracy and range of transvaginal ultrasound in measuring bladder volumes in women. Br J Urol 64(4):350–352PubMedCrossRef
3.
Zurück zum Zitat Grischke EM, Dietz HP, Jeanty P, Schmidt W (1986) A new study method: the perineal scan in obstetrics and gynecology. Ultraschall Med 7(4):154–161PubMedCrossRef Grischke EM, Dietz HP, Jeanty P, Schmidt W (1986) A new study method: the perineal scan in obstetrics and gynecology. Ultraschall Med 7(4):154–161PubMedCrossRef
4.
Zurück zum Zitat Bent A, Nahhas D, Mclennan M (1997) Portable ultrasound determination of urinary residual volume. Int Urogynecol J 8:200–202CrossRef Bent A, Nahhas D, Mclennan M (1997) Portable ultrasound determination of urinary residual volume. Int Urogynecol J 8:200–202CrossRef
5.
Zurück zum Zitat Dorflinger A, Monga A (2001) Voiding dysfunction. [Review] [31 refs]. Curr Opin Obstet Gynecol 13(5):507–512PubMedCrossRef Dorflinger A, Monga A (2001) Voiding dysfunction. [Review] [31 refs]. Curr Opin Obstet Gynecol 13(5):507–512PubMedCrossRef
6.
Zurück zum Zitat Hwang J, Byun S, Oh S, Kim H (2004) Novel algorithm for improving accuracy of ultrasound measurement of residual urine volume according to bladder shape. Urology 64(5):887–891PubMedCrossRef Hwang J, Byun S, Oh S, Kim H (2004) Novel algorithm for improving accuracy of ultrasound measurement of residual urine volume according to bladder shape. Urology 64(5):887–891PubMedCrossRef
7.
Zurück zum Zitat Dietz HP (2011) Pelvic Floor ultrasound in incontinence: What’s in it for the surgeon? Int Urogynecol J 22(9):1085–1097PubMedCrossRef Dietz HP (2011) Pelvic Floor ultrasound in incontinence: What’s in it for the surgeon? Int Urogynecol J 22(9):1085–1097PubMedCrossRef
8.
Zurück zum Zitat Dietz HP (2011) Pelvic Floor ultrasound in prolapse: what's in it for the surgeon? Int Urogynecol J 22:1221–1232PubMedCrossRef Dietz HP (2011) Pelvic Floor ultrasound in prolapse: what's in it for the surgeon? Int Urogynecol J 22:1221–1232PubMedCrossRef
9.
Zurück zum Zitat Dietz HP, Wilson PD (1999) The influence of bladder volume on the position and mobility of the urethrovesical junction. Int Urogynecol J 10(1):3–6CrossRef Dietz HP, Wilson PD (1999) The influence of bladder volume on the position and mobility of the urethrovesical junction. Int Urogynecol J 10(1):3–6CrossRef
10.
11.
Zurück zum Zitat Hall AF, Theofrastous JP, Cundiff GW, Harris RL, Hamilton LF, Swift SE, Bump RC (1996) Interobserver and intraobserver reliability of the proposed International Continence Society, Society of Gynecologic Surgeons, and American Urogynecologic Society pelvic organ prolapse classification system [see comments]. Am J Obstet Gynecol 175(6):1467–1470; discussion 1470PubMedCrossRef Hall AF, Theofrastous JP, Cundiff GW, Harris RL, Hamilton LF, Swift SE, Bump RC (1996) Interobserver and intraobserver reliability of the proposed International Continence Society, Society of Gynecologic Surgeons, and American Urogynecologic Society pelvic organ prolapse classification system [see comments]. Am J Obstet Gynecol 175(6):1467–1470; discussion 1470PubMedCrossRef
12.
Zurück zum Zitat Harrison N, Parks C, Sherwood T (1976) Ultrasound assessment of residual urine in children. Br J Urol 47:805–814CrossRef Harrison N, Parks C, Sherwood T (1976) Ultrasound assessment of residual urine in children. Br J Urol 47:805–814CrossRef
13.
Zurück zum Zitat Green W, King D (1976) Diagnostic ultrasound of the urinary tract. J Clin Ultrasound 4(1):55–64PubMedCrossRef Green W, King D (1976) Diagnostic ultrasound of the urinary tract. J Clin Ultrasound 4(1):55–64PubMedCrossRef
Metadaten
Titel
Determination of postvoid residual by translabial ultrasound
verfasst von
H. P. Dietz
D. Velez
K. L. Shek
A. Martin
Publikationsdatum
01.12.2012
Verlag
Springer-Verlag
Erschienen in
International Urogynecology Journal / Ausgabe 12/2012
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-012-1769-0

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