Asimakopoulos Anastasios D, De Nunzio Cosimo, Kocjancic Ervin, Tubaro Andrea, Rosier Peter F, Finazzi-Agrò Enrico
UOC of Urology, Department of Surgery, University of Tor Vergata, Policlinico Casilino, Rome, Italy.
Department of Urology, Sant'Andrea Hospital, Faculty of Health Sciences "La Sapienza" University of Rome, Rome, Italy.
Neurourol Urodyn. 2016 Jan;35(1):55-7. doi: 10.1002/nau.22671. Epub 2014 Sep 22.
To present the teaching module "Measurement of Post-void residual urine."
This module has been prepared by a Working Group of the ICS Urodynamics Committee. The methodology used included comprehensive literature review, consensus formation by the members of the Working Group, and review by members of the ICS Urodynamics Committee core panel.
In this ICS teaching module the evidence for and relevance of PVR measurement in patients with lower urinary tract dysfunction (LUTD) is summarized; in short: The interval between voiding and post-void residual (PVR) measurement should be of short duration and ultrasound bladder volume measurement is preferred to urethral catheterization. There is no universally accepted definition of a significant residual urine volume. Large PVR (>200-300 ml) may indicate marked bladder dysfunction and may predispose to unsatisfactory treatment results if for example, invasive treatment for bladder outlet obstruction (BOO) is undertaken. PVR does not seem to be a strong predictor of acute urinary retention and does not indicate presence of BOO specifically. Although the evidence base is limited, guidelines on assessment of LUTS generally include PVR measurement.
Measurement of PVR is recommended in guidelines and recommendations on the management of LUTS and urinary incontinence, but the level of evidence for this measurement is not high. This manuscript summarizes the evidence and provides practice recommendations for teaching purposes in the framework of an ICS teaching module.
介绍“残余尿量测量”教学模块。
本模块由国际尿控学会(ICS)尿动力学委员会的一个工作组编写。所采用的方法包括全面的文献综述、工作组成员达成共识以及ICS尿动力学委员会核心小组的成员进行审核。
在这个ICS教学模块中,总结了下尿路功能障碍(LUTD)患者残余尿量(PVR)测量的证据及其相关性;简而言之:排尿与残余尿量(PVR)测量之间的间隔时间应较短,超声膀胱容量测量优于尿道插管。对于显著残余尿量尚无普遍接受的定义。大量残余尿量(>200 - 300毫升)可能表明膀胱功能严重受损,并且如果例如对膀胱出口梗阻(BOO)进行侵入性治疗,可能导致治疗效果不理想。残余尿量似乎不是急性尿潴留的有力预测指标,也不能特异性地表明存在膀胱出口梗阻。尽管证据基础有限,但关于下尿路症状(LUTS)评估的指南通常包括残余尿量测量。
在关于下尿路症状(LUTS)和尿失禁管理的指南及建议中推荐进行残余尿量测量,但该测量的证据水平不高。本手稿总结了相关证据,并在ICS教学模块框架内提供用于教学目的的实践建议。