International Urogynecology Journal

, Volume 20, Issue 3, pp 319–324 | Cite as

Does the presenting bladder volume at urodynamics have any diagnostic relevance?

  • Bernard T. Haylen
  • Vivian Yang
  • Vanessa Logan
  • Sue Husselbee
  • Matthew Law
  • Jialun Zhou
Original Article

Abstract

The aim of this study is to assess the diagnostic relevance of the presenting bladder volume (PBV) at urodynamics in women. Its measurement is most accurately made by adding the voided volume at uroflowmetry and the postvoid residual. The study involved 1,140 women presenting for their initial urogynecological assessment. Multivariate analysis of the relationships between high or low PBVs and different clinical and urodynamic variables. Median PBV was 174 mL. In overall terms, women with lower PBVs (0–174 mL) are significantly more likely to be older, of lower parity (0–1), have the symptom of nocturia, and the final diagnoses of sensory urgency and detrusor overactivity. These women are significantly less likely to have posterior vaginal and apical vaginal prolapse. Women with higher PBVs (over 174 mL) are significantly less likely to have either bladder storage diagnoses. The relatively low median PBV might reduce the demonstration of clinical stress leakage and restrict the interpretation of uroflowmetry data.

Keywords

Presenting bladder volume Urodynamics Voided volume Postvoid residual Comfortably full bladder 

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Copyright information

© The International Urogynecological Association 2008

Authors and Affiliations

  • Bernard T. Haylen
    • 1
  • Vivian Yang
    • 2
  • Vanessa Logan
    • 1
  • Sue Husselbee
    • 1
  • Matthew Law
    • 3
  • Jialun Zhou
    • 3
  1. 1.St Vincent’s ClinicDarlinghurstAustralia
  2. 2.St Vincent’s HospitalDarlinghurstAustralia
  3. 3.National Centre in HIV Epidemiology and Clinical ResearchUniversity of New South WalesKensingtonAustralia

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