Clinical Factors Associated With the Feeling of Incomplete Bladder Emptying in Women With Little Postvoided Residue
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Purpose: To investigate the clinical factors associated with the feeling of incomplete bladder emptying in female patients with lower urinary tract symptoms (LUTS). Methods: Records were obtained from a prospectively maintained database for 353 female patients without a history of treatment for LUTS. Patients with comorbidities that may affect voiding function and with postvoid residual (PVR) volume >20 mL or PVR volume-to-bladder capacity ratio of >10% were excluded. Finally, 211 patients were eligible for the study. Results: Patients were stratified according to the severity of the feeling of incomplete emptying: non-severe group (n=147, 69.7%) and severe group (n=64, 30.3%). The severe group showed longer time to maximum flow rate (Qmax) and greater total overactive bladder symptom score (OABSS). No differences in age, PVR volume, and diagnosis of overactive bladder (OAB) were found between the 2 severity groups. Multivariable analysis identified the severity of the feeling of incomplete emptying to be significantly associated with time to Qmax and minimum volume of voids. Time to Qmax was identified as a significant predictor of severe symptoms in women with OAB. In addition, the feeling of incomplete emptying, total OABSS, and minimum volume of voids were significantly associated with quality of life. Conclusions: Female patients with the feeling of incomplete emptying who have insignificant PVR volume exhibited severe voiding symptoms and low quality of life. The treatment strategy should be focused on improving the minimum volume of voids and shortening the time to Qmax.
Abstract
Purpose: To investigate the clinical factors associated with the feeling of incomplete bladder emptying in female patients with lower urinary tract symptoms (LUTS). Methods: Records were obtained from a prospectively maintained database for 353 female patients without a history of treatment for LUTS. Patients with comorbidities that may affect voiding function and with postvoid residual (PVR) volume >20 mL or PVR volume-to-bladder capacity ratio of >10% were excluded. Finally, 211 patients were eligible for the study. Results: Patients were stratified according to the severity of the feeling of incomplete emptying: non-severe group (n=147, 69.7%) and severe group (n=64, 30.3%). The severe group showed longer time to maximum flow rate (Qmax) and greater total overactive bladder symptom score (OABSS). No differences in age, PVR volume, and diagnosis of overactive bladder (OAB) were found between the 2 severity groups. Multivariable analysis identified the severity of the feeling of incomplete emptying to be significantly associated with time to Qmax and minimum volume of voids. Time to Qmax was identified as a significant predictor of severe symptoms in women with OAB. In addition, the feeling of incomplete emptying, total OABSS, and minimum volume of voids were significantly associated with quality of life. Conclusions: Female patients with the feeling of incomplete emptying who have insignificant PVR volume exhibited severe voiding symptoms and low quality of life. The treatment strategy should be focused on improving the minimum volume of voids and shortening the time to Qmax.
참고문헌 (20)
- 박정옥, "Sex Differences in Lower Urinary Tract Symptoms in Older Korean Adults Living in Rural Areas: Prevalence, Quality of Life, and Associated Factors", International Neurourology Journal, 22(3), pp.212~219 (2018), 대한배뇨장애요실금학회
- Haylen BT, "An International Urogynecological Association(IUGA)", International Continence Society(ICS)joint report on the terminology for female pelvic floor dysfunction, 2010, pp.29, 4~20
- Sountoulides P, "Feeling of incomplete bladder emptying : a definition with clinical implications", Low Urin Tract Symptoms, 11, pp.85~ (2019)
- Robinson D, "Defining female voiding dysfunction : ICI-RS 2011", Neurourol Urodyn, 31, pp.313~316 (2012)
- Maserejian NN, "Prevalence of post-micturition symptoms in association with lower urinary tract symptoms and health-related quality of life in men and women", BJU Int, 108, pp.1452~1458 (2011)
- Park YW, "Female urinary incontinence and obesity assessed by anthropometry and dual-energy X-ray absorptiometry : Analysis from the 2008-09 Korean National Health and Nutrition Examination Survey", Low Urin Tract Symptoms, 11, pp.O28~O33 (2019)
- Lee JH, "Nutrient intake and urinary incontinence in Korean women : a propensity score-matched analysis from the Korea National Health and Nutrition Examination Survey data", Int J Urol, 24, pp.793~797 (2017)
- Lee JY, "Clinical implications of a feeling of incomplete emptying with little post-void residue in men with lower urinary tract symptoms", Neurourol Urodyn, 33, pp.1123~1127 (2014)
- Dietz HP, "Symptoms of voiding dysfunction : what do they really mean", Int Urogynecol J Pelvic Floor Dysfunct, 16, pp.52~55 (2005)
- Groutz A, "Prevalence and characteristics of voiding difficulties in women : are subjective symptoms substantiated by objective urodynamic data", Urology, 54, pp.268~272 (1999)
- Jeffery ST, "Are voiding symptoms really associated with abnormal urodynamic voiding parameters in women", Int J Urol, 15, pp.1044~1048 (2008)
- Wein AJ, "Campbell-Walsh urology", pp.1834~1846 (2012), Saunders
- Van Brummen HJ, "The association between overactive bladder symptoms and objective parameters from bladder diary and filling cystometry", Neurourol Urodyn, 23, pp.38~42 (2004)
- Yamaguchi O, "Defining overactive bladder as hypersensitivity", Neurourol Urodyn, 26(6 Suppl), pp.904~907 (2007)
- Park KK, "Efficacy and safety of low-dose anticholinergics to treat men with lower urinary tract symptoms with overactive bladder : a retrospective study based on real life practice", Prostate Int, 1, pp.37~41 (2013)
- Handa VL, "Protecting the pelvic floor : obstetric management to prevent incontinence and pelvic organ prolapse", Obstet Gynecol, 88, pp.470~478 (1996)
- Grandadam F, "Pharmacological and urodynamic changes in rat urinary bladder function after multiple pregnancies", BJU Int, 84, pp.861~866 (1999)
- Abrams P, "Urodynamics", pp.147~170 (2006), Springer-Verlag
- 권춘식, "Prevalence, Risk Factors, Quality of Life, and Health-Care Seeking Behaviors of Female Urinary Incontinence: Results From the 4th Korean National Health and Nutrition Examination Survey VI (2007–2009)", International Neurourology Journal, 18(1), pp.31~36 (2014), 대한배뇨장애요실금학회
- 이효석, "Vitamin D and Urinary Incontinence among Korean Women: a Propensity Score-matched Analysis from the 2008–2009 Korean National Health and Nutrition Examination Survey", Journal of Korean Medical Science, 32(4), pp.661~665 (2017), 대한의학회