Relation between volume of residual urine and urodynamic findings in women with cystourethrocele.
OBJECTIVE
To evaluate the relation between post-voiding residual urine (PVR) and urodynamic findings, voiding patterns, and the degree of prolapse in women with cystourethrocele.


METHODS
According to the average PVR value measured by means of catheterization after three separate and spontaneous micturitions, 73 women with minimal urethral hypermobility (n = 8) or colpocystocele (n = 65) were subdivided into 3 groups: group 1 = patients with a PVR of < or =50 ml; group 2 = patients with a PVR of >50 ml and < or =150 ml, and group 3 = patients with a PVR of >150 ml and < or =500 ml. The patients underwent a thorough physical examination, and prolapse was evaluated and graded. The women then underwent a complete urodynamic investigation. The 3 groups of patients were statistically correlated according to the urodynamic findings, voiding patterns and degree of prolapse.


RESULTS
A large PVR in women with cystourethrocele was often associated with poor maximum flow rate, intermittent flow and with the highest degree of prolapse.


CONCLUSIONS
The present study suggests that uroflowmetry is a very simple, noninvasive, but also essential method of investigation in evaluating female patients with cystourethrocele, particularly when a large PVR is suspected.
Vecchioli Scaldazza
Carlo
C
Division of Urology, Jesi Hospital, Italy. vecchioli-carlo@mercurio.it
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008875:Middle Aged; D011391:Prolapse; D014522:Urethral Diseases / Q000503:physiopathology*; D001745:Urinary Bladder Diseases / Q000503:physiopathology*; D014556:Urine; D014563:Urodynamics