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Falsely Elevated Postvoid Residual Urine Volume in Uterine Myoma

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초록

Precise measurement of postvoid residual (PVR) urine volume is a key factor in assessing patients with voiding dysfunction, including those with lower urinary tract problems. The safe and noninvasive ultrasound bladder scan is the preferred mode to measure PVR volume. However, this procedure has a false-positive rate up to 9%, in the presence of ovarian cysts, renal cysts, ascites, or uterine myoma with cystic degeneration. Until now, cystic lesions are known to cause false positivity in ultrasound bladder scanner. However, we encountered falsely-elevated PVR in two cases of non-cystic uterine myomas. We present these cases with detailed radiologic images and volume measurement data.

Abstract

Precise measurement of postvoid residual (PVR) urine volume is a key factor in assessing patients with voiding dysfunction, including those with lower urinary tract problems. The safe and noninvasive ultrasound bladder scan is the preferred mode to measure PVR volume. However, this procedure has a false-positive rate up to 9%, in the presence of ovarian cysts, renal cysts, ascites, or uterine myoma with cystic degeneration. Until now, cystic lesions are known to cause false positivity in ultrasound bladder scanner. However, we encountered falsely-elevated PVR in two cases of non-cystic uterine myomas. We present these cases with detailed radiologic images and volume measurement data.

참고문헌 (10)

  1. Park YH, "Accuracy of post-void residual urine volume measurement using a portable ultrasound bladder scanner with real-time pre-scan imaging", Neurourol Urodyn, 30, pp.335~338 (2011)
  2. 조규형, "Ovarian Cystadenoma Mistaken as Postvoid Residual Urine by Portable Ultrasound Scanning", International Neurourology Journal, 13(2), pp.166~168 (2009), 대한배뇨장애요실금학회
  3. Alagiakrishnan K, "Ultrasound bladder scanner presents falsely elevated postvoid residual volumes", Can Fam Physician, 55, pp.163~164 (2009)
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  6. Morrell GA, "False reading of retained urine from a bladder scan", Urol Nurs, 30, pp.147~148 (2010)
  7. Choe JH, "Accuracy and precision of a new portable ultrasound scanner, the BME-150A, in residual urine volume measurement: a comparison with the BladderScan BVI 3000", Int Urogynecol J Pelvic Floor Dysfunct, 18, pp.641~644 (2007)
  8. Juan Luis Alcazar, "Transvaginal", transrectal ultrasound for assessing myometrial invasion in endometrial cancer: a comparison of six different approaches, 2015, pp.26(3), 201~207[DOI]
  9. Palese A, "The effectiveness of the ultrasound bladder scanner in reducing urinary tract infections: a meta-analysis", J Clin Nurs, 19, pp.2970~2979 (2010)
  10. 김용진, "휴대용 삼차원 초음파 측정기를 이용한 방광용적 측정에서 측정각도에 따른 정확도와 진단적 가치", Investigative and Clinical Urology, 47(12), pp.1320~1326 (2006), 대한비뇨기과학회

관련 논문AI추천

Ovarian Cystadenoma Mistaken as Postvoid Residual Urine by Portable Ultrasound Scanning김웅빈, 송윤섭, 송진현, 양원재, 조규형대한배뇨장애요실금학회 · International Neurourology Journal2009 · 제13권 제2호Accuracy of Portable Ultrasound Measurement of the Bladder Volume Using the Manual Fanning Scan and Traditional Motorized Scan MethodsHyun Ju Jeong, Seung-June Oh대한배뇨장애요실금학회 · International Neurourology Journal2025 · 제29권 제4호Sonographic evaluation of bladder wall thickness in women with lower urinary tract dysfunction강병문, 고지혜, 김성훈, 김정훈, 박소연, 박은주, 송지원, 신운주, 채희동대한산부인과학회 · Obstetrics & Gynecology Science2018 · 제61권 제3호Postvoid Residual Volume Correlates With Bladder Outlet Obstruction and Not With Detrusor Contraction Strength Parameters in Women: A Matched Case-Control StudyAlejandro Mercado-Campero, Jorge Moreno-Palacios, Juan Pablo Valdevenito, Márcio A. Averbeck, Mauricio Olea대한배뇨장애요실금학회 · International Neurourology Journal2024 · 제28권 제4호Clinical Factors Associated With the Feeling of Incomplete Bladder Emptying in Women With Little Postvoided Residue구교철, 이광석대한배뇨장애요실금학회 · International Neurourology Journal2020 · 제24권 제2호Defining Voiding Dysfunction in Women: Bladder Outflow Obstruction Versus Detrusor UnderactivityApostolos Apostolidis, Athanasios Oeconomou, Evangelia Nakopoulou, George Mouzakitis, Ioannis Sokolakis, Konstantinos-Vaios Mytilekas, Marina Kalaitzi대한배뇨장애요실금학회 · International Neurourology Journal2021 · 제25권 제3호

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