Management of elevated post-void residual volume Review
| Authors: | Mekayten, M.; Sandhu, J. S. |
| Review Title: | Management of elevated post-void residual volume |
| Abstract: | Purpose of Review: Elevated post-void residual volume (ePVR) also known as chronic urinary retention (CUR) is a chronic condition of incomplete bladder emptying in the absence of pain or discomfort. ePVR may be secondary to several etiologies: obstructive, neurogenic, vascular, myogenic, or a combination of these. It can be further divided into symptomatic (e.g., accompanied with lower urinary tract symptoms), or asymptomatic. In this article, we sought to review the literature regarding definition of ePVR, etiology, clinical significance, initial assessment, treatment, and follow-up. Recent Findings: We performed a systematic review of current literature and leading urology association guidelines regarding the management of CUR. We recommend using a cut off for of greater than 300mL, in two separate measurements at least 6 months apart for the definition of CUR. Patient with CUR should be divided to low- and high-risk patients, according to their risk of developing complication related to urinary stasis or high intravesical pressure. The management and follow-up recommendations are different in both group and should be aimed at reducing complications and improving quality of life. While low-risk asymptomatic patients may be followed conservatively, high-risk patients should be monitored closely for worsening renal function and interventions may be needed in the high-risk group. Summary: CUR is a chronic condition whose pathogenesis and complications are not fully understood. Management and follow-up of patients with CUR should be tailored to patient risk. Further research is necessary to better understand the clinical course, pathophysiology, and optimal therapeutic and diagnostic approach. © 2023, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature. |
| Keywords: | review; pathophysiology; follow up; prostate specific antigen; quality of life; clinical assessment; inflammation; creatinine; kidney failure; ultrasound; high risk patient; kidney function; systematic review; diabetes mellitus; urinary tract infection; caregiver; pelvic organ prolapse; prostate hypertrophy; urinary urgency; cystoscopy; physical examination; urinalysis; urine retention; bladder stone; chronic kidney failure; prostate size; hydronephrosis; bladder reconstruction; intermittent catheterization; urine culture; urodynamics; pyelonephritis; diverticulosis; low risk patient; bladder catheterization; bladder emptying; indwelling catheter; cystourethrography; urinary catheterization; estimated glomerular filtration rate; hydroureter; international prostate symptom score; clinical significance; human; bladder pressure; transcutaneous electrical nerve stimulation; self-catheterization; urethra stenosis; chronic urinary retention; postvoid residual urine volume; sacral nerve stimulation; elevated post-void residual; underactive bladder; detrusor dyssynergia; hypotonic bladder; international consultation on incontinence questionnaire; suburethral sling procedure |
| Journal Title: | Current Bladder Dysfunction Reports |
| Volume: | 18 |
| Issue: | 3 |
| ISSN: | 1931-7212 |
| Publisher: | Springer |
| Date Published: | 2023-09-01 |
| Start Page: | 201 |
| End Page: | 209 |
| Language: | English |
| DOI: | 10.1007/s11884-023-00706-6 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | Review -- MSK Cancer Center Support Grant (P30 CA008748) acknowledged in PDF -- MSK corresponding author is Jaspreet Sandhu -- Source: Scopus |
Altmetric
Citation Impact
BMJ Impact Analytics
Related MSK Work