Bladder outlet obstruction in women: Prevalence, recognition, and management

Patel, Rahila; Νitti, Victor W.

doi:10.1007/s11934-996-0024-y

Cited by 46 publications

(34 citation statements)

References 46 publications

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“…This prevalence is within the published range of 2.7-29% for bladder neck obstruction in women [15]. Although retrospective studies have a significant risk of bias, it is felt that sources of bias were minimized in this study because symptoms were obtained on a routine basis for all patients without knowledge of the measured post-void volume.…”

Section: Discussionsupporting

confidence: 60%

Do subjective symptoms of obstructive voiding correlate with post-void residual urine volume in women?

Al-Shahrani

Lovatsis

2004

Int Urogynecol J

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The objective was to determine if symptoms of obstructive voiding correlate with post-void residual urine volume measured by catheterization. A cross-sectional study of 134 consecutive women referred to a tertiary urogynecology clinic was performed. Subjects were interviewed regarding three types of obstructive voiding symptoms: a sensation of incomplete emptying, straining to void, and slow urine stream. Post-void residual urine volume was measured by catheterization as the gold standard. Data for each symptom were analyzed using Cohen's kappa test, sensitivity, specificity, likelihood ratios for a positive of negative test, and positive and negative predictive values. A total of 11 out of 134 patients (8%) had a post-void residual volume greater than 100 ml. Of these 11, 1 had symptoms of incomplete emptying (9%), 1 had symptoms of straining to void (9%), and 2 had symptoms of slow urine stream (18%). Sensitivity, specificity, likelihood ratio for a positive symptom, likelihood ratio for a negative symptom, positive predictive value, negative predictive value, and Cohen's kappa, respectively, were 9%, 80%, 0.47, 1.13, 4%, 91%, and 0.05 for the symptom of incomplete emptying, 9%, 91%, 1.12, 1.0, 8%, 92%, and 0.01 for straining to void, and 18%, 89%, 1.6, 0.92, 13%, 92%, and 0.07 for the symptom of slow urine stream. It was concluded that symptoms of obstructive voiding do not correlate with measured post-void urine volume. In clinically important situations, these symptoms cannot substitute for measurement of post-void residual urine volume.

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Section: Discussionsupporting

confidence: 60%

Do subjective symptoms of obstructive voiding correlate with post-void residual urine volume in women?

Al-Shahrani

Lovatsis

2004

Int Urogynecol J

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“…It presents in as many as 70% of men over 70 years [33,34]. Clinically, BPH refers to LUTS, which in turn being associated with BPH may cause BOO [35].…”

Section: Estrogen Bph and Boomentioning

confidence: 99%

Estrogens and bladder outlet obstruction

Rahman

2010

The Journal of Steroid Biochemistry and Molecular Biology

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“…Anatomical and functional causes of bladder outlet obstruction in women include infective and inflammatory reasons such as urethral stricture, urethral caruncle, urinary tract infections or acute vulvovaginitis [2, 3]. In addition; various rare reasons such as herpes zoster infection [4], cytomegalovirus cytitis [5] and eosinophilic cystitis [6] have been described in case reports for acute urinary retention.…”

Section: Discussionmentioning

confidence: 99%

A rare cause of acute urinary retention in women: meatal condyloma accuminata, a case report

Çınar¹,

Bolat²,

Akdeniz³

et al. 2016

Pan Afr Med J

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Acute urinary retention in women is a rarely seen phenomenon due to pharmacological, neuromuscular, anatomical, functional and infectious causes. Human papillomaviruses causing condyloma acuminata is one of the rarely reported viral infectious cause of acute urinary retention in case reports. A 45-year-old woman with acute urinary retention was found to have a round solid lesion on external urethral meatus. Histopathological examination revealed as condyloma acuminata. Urethral condyloma can be treated by local excision as an effective method for early improvement of voiding function. Even if the genital condyloma can be locally excised, patients should be referred to the gynecologists for cervical cancer screening.

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Bladder outlet obstruction in women: Prevalence, recognition, and management

Cited by 46 publications

References 46 publications

Do subjective symptoms of obstructive voiding correlate with post-void residual urine volume in women?

Do subjective symptoms of obstructive voiding correlate with post-void residual urine volume in women?

Estrogens and bladder outlet obstruction

A rare cause of acute urinary retention in women: meatal condyloma accuminata, a case report

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