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Objective: To evaluate the correlation between postvoid residual urine (PVR) and urinary tract infection (UTI) in women with pelvic floor dysfunction.
Methods: A retrospective chart review was carried out of all new patients with symptoms of pelvic floor dysfunction. PVR was assessed with transvaginal ultrasonography. UTI was diagnosed by urine culture in woman as growth of more than 100,000 colony forming units (CFU)/ml of the uropathogenic bacteria.
Results: Two hundred and forty (82%) of 290 medical records were completed for this analysis. The overall percentages of PVR were 82.9% at 0-30 ml, 7.1% at 31-50 ml, 7.5% at 51-100 ml and 2.5% at more than 100 ml. The percentage of women who had ≥ 30 ml PVR were 29% and 6% in pelvic organ prolapse (POP) stage II or greater with stress urinary incontinence (SUI) and SUI alone groups, respectively. The percentages of UTI were 27.1%, 35.3%, 11.1% and 33.3% for PVR at 0-30 ml, 31-50 ml, 51-100 ml and more than 100 ml, respectively. Elevated PVR was not associated with UTI (P>0.05).
Conclusions: Elevated PVR was not associated with UTI. Women with POP stage II or greater and SUI tended to have higher PVR (more than 30 ml) compared to women who had SUI alone.
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2. Haylen BT, Lee J. The accuracy of post-void residual measurement in women. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19(5):603-606. doi:10.1007/s00192-008-0568-0.
3. Tseng LH, Liang CC, Chang YL, Lee SJ, Lloyd LK, Chen CK. Postvoid residual urine in women with stress incontinence. Neurourol Urodyn. 2008;27(1):48-51.
4. Lukacz ES, DuHamel E, Menefee SA, Luber KM. Elevated postvoid residual in women with pelvic floor disorders: prevalence and associated risk factors. Int Urogynecol J Pelvic Floor Dysfunct. 2007;18(4):397-400.
5. Haylen BT, Lee J, Logan V, Husselbee S, Zhou J, Law M. Immediate Postvoid residual volumes in women with symptoms of pelvic floor dysfunction. Obstet Gynecol. 2008;111(6):1305-1312. doi:10.1097/AOG.0b013e31817615b2.
6. Truzzi JCI, Almeida FMR, Nunes EC, Sadi MV. Residual urinary volume and urinary tract infection-when are they linked? J Urol. 2008;180(1):182-185. doi:10.1016/j.juro.2008.03.044.
7. Omli R, Skotnes LH, Mykletun A, Bakke AM, Kuhry E. Residual urine as a risk factor for lower urinary tract infection: A 1-year follow-up study in nursing homes. J Am Geriatr Soc. 2008;56(5):871-874. doi:10.1111/j.1532-5415.2008.01646.x.
8. Barabas G, Moelstad S. No association between elevated post-void residual volume and bacteriuria in residents of nursing homes. Scand J Prim Health Care. 2005;23(1):52-56.
9. Boyko EJ, Fihn FD, Scholes D, Abraham L, Monsey B. Risk of urinary tract infection and asymptomatic bacteriuria among diabetic and nondiabetic postmenopausal women. Am J Epidemiol. 2005;161(6):557-564.
10. Jackson SL, Boyko EJ, Scholes D, Abraham L, Gupta K, Fihn SD. Predictors of urinary tract infection after menopause: A prospective study. Am J Med. 2004;117(12):903-911.
11. Huang AJ, Brown JS, Boyko EJ, et al. Clinical significance of postvoid residual volume in older ambulatory women. J Am Geriatr Soc. 2011;59(8):1452-1458. doi:10.1111/j.1532-5415.2011.03511.x.
12. Espuela Orgaz R, Zuluaga Gomez A, Torres Ramirez C, Martinez Torres JL. Application of bladder ultrasonography. I. Bladder content and residue. J Urol. 1981;125(2):174-176.
13. Haylen BT, Law MG, Frazer M, Schulz S. Urine flow rates and residual urine volumes in urogynecology patients. Int Urogynecol J Pelvic Floor Dysfunct. 1999;10(6):378-383.
14. Gomolin IH, McCue JD. Urinary tract infection in the elderly patient. Infect Urol. 2000;13:7-13.
15. Dromerick AW, Edwards DF. Relation of postvoid residual to urinary tract infection during stroke rehabilitation. Arch Phys Med Rehabil. 2003;84(9):1369-1372.
16. FitzGerald MP, Jaffar J, Brubaker L. Risk factors for an elevated postvoid residual urine volume in women with symptoms of urinary urgency, frequency and urge incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 2001;12(4):237-239