Sensation of incomplete bladder emptying in women: Lack of correlation to an elevated post-void residual - PubMed (original) (raw)

. 2022 Jan;41(1):490-497.

doi: 10.1002/nau.24859. Epub 2021 Dec 16.

Affiliations

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

Michelle Van Kuiken et al. Neurourol Urodyn. 2022 Jan.

Abstract

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.

Keywords: incomplete bladder emptying; lower urinary tract symptoms; voiding symptoms.

© 2021 Wiley Periodicals LLC.

PubMed Disclaimer

References

REFERENCES

    1. Coyne KS, Sexton CC, Vats V, Thompson C, Kopp ZS, Milsom I. National community prevalence of overactive bladder in the United States stratified by sex and age. Urology. 2011;77(5):1081-1087. doi:10.1016/j.urology.2010.08.039
    1. Irwin DE, Milsom I, Hunskaar S, et al. Population-based survey of urinary incontinence, overactive bladder, and other lower urinary tract symptoms in five countries: results of the EPIC study. Eur Urol. 2006;50(6):1306-1315. doi:10.1016/j.eururo.2006.09.019
    1. Abufaraj M, Xu T, Cao C, et al. Prevalence and trends in urinary incontinence among women in the United States 2005-2018. Am J Obstet Gynecol. 2021;13:2021. doi:10.1016/j.ajog.2021.03.016
    1. Cameron AP, Lewicky-Gaupp C, Smith AR, et al. Baseline lower urinary tract symptoms in patients enrolled in LURN: A prospective, observational cohort study. J Urol. 2018;199(4):1023-1031. doi:10.1016/j.juro.2017.10.035
    1. Peterson AC, Smith AR, Fraser MO, et al. The distribution of post-void residual volumes in people seeking care in the symptoms of lower urinary tract dysfunction network observational cohort study with comparison to asymptomatic populations. Urology. 2019;130:22-28. doi:10.1016/j.urology.2019.01.069

MeSH terms

LinkOut - more resources