Correlation of Transabdominal Ultrasound and Catheterization for the Assessment of Postvoid Residual Urine in Pelvic Organ Prolapse Patients
Article Sidebar
Main Article Content
Abstract
Objectives: The aim of this study was to evaluate the correlation of postvoid residual (PVR) measurement in pelvic organ prolapse patients by transabdominal sonography (TAS) and urinary catheterization.
Materials and Methods: During November 2021 - March 2022, a cross-sectional study was conducted in newly diagnosed as pelvic organ prolapse (POP) patients stage 1-4 patients at Female Pelvic Medicine and Reconstructive Surgery (FPMRS) clinic, King Chulalongkorn Memorial hospital, Thailand. The PVR was determined by TAS and urinary catheterization. TAS was independently performed by two investigators. Each investigator performed ultrasound twice. After completed ultrasound evaluation, urinary catheterization was immediately performed.
Results: Seventy-seven POP patients were included. The mean ± standard deviation of age was 70.65 ± 9.15 years. Fifty-one percent of patients had advanced stage of prolapse. The correlation coefficients (r) of TAS and catheterization by 2 evaluators were 0.74 (p < 0.001) and 0.79 (p < 0.001). The intra-rater reliability of PVR measurement by TAS of both evaluators were 0.93 and 0.95. The inter-rater reliability of PVR measurement by TAS were 0.78 (1st measurement) and 0.79 (2nd measurement).
Conclusion: There was a high positive correlation of the PVR assessment by TAS and PVR assessment by urinary catheterization in POP patients. This technique can be used as the alternative choice for PVR measurement in patients with POP.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, et al. The standardisation of terminology in lower urinary tract function: report from the standardisation sub-committee of the International Continence Society. Urology 2003;61:37-49.
Haylen BT. Female voiding dysfunction: prevalence and common associations. Curr Urol Rep 2009;10: 421-7.
Asimakopoulos AD, De Nunzio C, Kocjancic E, Tubaro A, Rosier PF, Finazzi-Agrò E. Measurement of post-void residual urine. Neurourol Urodyn 2016;35:55-7.
Ulrich A, Davis P, Propst K, OʼSullivan DM, Tulikangas P. Elevated postvoid residual urine volume: Identifying risk factors and predicting resolution in women with pelvic organ prolapse. Female Pelvic Med Reconstr Surg 2018;24:444-8.
Kim TH, Kim HS, Park JW, Lim OK, Park KD, Lee JK. Falsely elevated postvoid residual urine volume in uterine myoma. Ann Rehabil Med 2017;41:332-6.
Dicuio M, Pomara G, Menchini Fabris F, Ales V, Dahlstrand C, Morelli G. Measurements of urinary bladder volume: comparison of five ultrasound calculation methods in volunteers. Arch Ital Urol Androl 2005;77:60-2.
Mukaka MM. Statistics corner: A guide to appropriate use of correlation coefficient in medical research. Malawi Med J 2012;24:69-71.
Hulley SB CS, Browner WS, Grady D, Hearst N, Newman TB. Designing clinical research: an epidemiologic approach. Lippincott Williams&Wilkins Philadelphia 2001.
Lertbunnaphong T, Inthasorn P, Boriboonhirunsarn D, Chuchotirot M, Russameecharoen K, Phattanachindakun B. Transabdominal ultrasound in the assessment of postvoid residual urine volume in patients after hysterectomy. J Med Assoc Thai 2006;89:S152-7.
Yip SK, Sahota D, Chang AM. Determining the reliability of ultrasound measurements and the validity of the formulae for ultrasound estimation of postvoid residual bladder volume in postpartum women. Neurourol Urodyn 2003;22:255-60.
Prapaspongsa T, Manonai J. Transvaginal sonographic assessment of postvoid residual urine volumes in women with pelvic floor dysfunction. Rama Med J 2017;40:34-41.
Cassadó J, Espuña-Pons M, Díaz-Cuervo H, Rebollo P. How can we measure bladder volumes in women with advanced pelvic organ prolapse? Ultrasound Obstet Gynecol 2015;46:233-8.
Padilha JF, da Silva JB, Seidel EJ, Driusso P. Intra- and inter-rater reliability of post-void residual bladder volume with ultrasound. Int Urogynecol J 2020;31: 973-9.
Wichianpitaya, A.; Tannirandorn, Y. Accuracy of residual urine volume measurement: Comparison between real-time ultrasonography and Catheterization. Thai J Obstet Gynaecol 2017;15: 237-43.
Simforoosh N, Dadkhah F, Hosseini SY, Asgari MA, Nasseri A, Safarinejad MR. Accuracy of residual urine measurement in men: comparison between real-time ultrasonography and catheterization. J Urol 1997;158:59-61.
