Feeling of incomplete bladder emptying: A definition with clinical implications

Sountoulides, Petros; Mutomba, Wilbert Fana

doi:10.1111/luts.12251

Cited by 5 publications

(4 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Eckhardt MD et al [14] demonstrated in a study from 2001, that patients with LUTS primarily suffer from storage symptoms, particularly urge incontinence and nocturia. The particular burden of irritative storage symptoms has been confirmed by follow-up studies [15,16]. Therefore, as is so often the case in the relevant literature, it is only of limited use to take the total volume of the prostate as a reference value for the success of the therapy and as a morphological correlate for clinical improvement.…”

Section: Discussionmentioning

confidence: 94%

Impact of Prostatic Artery Embolization in Patients with Enlarged True Middle Lobes

Zhou¹,

Bischoff²,

Hanitzsch³

et al. 2022

J. Mens. Health

View full text Add to dashboard Cite

Background: Prostatic artery embolization (PAE) is an emerging minimal-invasive therapy of benign prostatic hyperplasia (BPH), able to reduce the prostatic volume (PVol) and the IPP. The presence of a true middle lobe (TML) is associated with bladder outlet obstruction (BOO), causing lower urinary tract symptoms (LUTS). In this study we investigate the effect of PAE in TML improvement in patients with LUTS. Methods: A retrospective analysis was done of 47 men treated with PAE from April 2015 to September 2021. The volume of the TML, IPP, and PUA were measured on MRI prior and 2 months after PAE. Successful devascularization of the TML was evaluated by contrast-enhanced MRI (ceMRI) 48 hours after therapy. Results: The TML was successfully embolised technically in 72%. After two months, the total volume of the prostate (PVol) was reduced by 25.8 ± 13.3% (from 72.1 ± 39.8 cc to 52.5 ± 27.9 cc; p < 0.000). Following a technically successful PAE of the TML, the TMLVol decreased by 32.1 ± 21.5% (from 10.6 ± 16.1 cc to 7.2 ± 13.1 cc; p < 0.000), and the IPP was reduced by 29.3 ± 15.5% (from 16.3 ± 7.4 mm to 11.9 ± 6.6 mm; p < 0.000). In contrast, after a technically incomplete devascularisation of the TML the TMLVol decreased by only 7.2 ± 17.7% (from 8.4 ± 9.3 cc to 7.5 ± 8.9 cc; p = 0.089), and the IPP was reduced by only 10.9 ± 8.8% (from 16.4 ± 7.3 mm to 14.6 ± 6.7 mm; p = 0.003). The currecture of the PUA after a successful and after an incomplete embolization of the TML was comparable with 11.6 ± 7.6 and 12.2 ± 9.4, respectively (in both p < 0.001). Conclusions: Our study firstly shows that PAE is able to reduce TML volume. Furthermore, PAE is able to reduce the IPP even if caused by a TML.

show abstract

Section: Discussionmentioning

confidence: 94%

Impact of Prostatic Artery Embolization in Patients with Enlarged True Middle Lobes

Zhou¹,

Bischoff²,

Hanitzsch³

et al. 2022

J. Mens. Health

View full text Add to dashboard Cite

show abstract

“…This demand has not made it into scientific routine even after 23 years [39][40][41]. Current evidence suggests that, e.g., PAE, has a proportionally greater effect on storage symptoms, including nocturia, than surgical therapies [28,34,42]. Nevertheless, PAE is generally classified as being inferior to TURP with regard to the reference values Qmax and PV reduction.…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, PAE is generally classified as being inferior to TURP with regard to the reference values Qmax and PV reduction. Therefore, in order to create reliable evidence for the future, it must be demanded that-irrespective of the applied technique-further studies should include a meticulous assessment of clinical parameters that influence QoL, above all urge incontinence, nocturia, the sense of incomplete emptying (not synonymic with post-void residual), and preserved sexuality [42]. As different as the minimally invasive therapies are, as detailed they have to be depicted within the complex complaints of the LUTS.…”

Section: Discussionmentioning

confidence: 99%

Interventional therapy in benign conditions of the prostate

Kovács

2020

Radiologe

View full text Add to dashboard Cite

show abstract

“…The feeling of incomplete emptying is seen frequently in both men and women, usually alongside other voiding, storage, or postmicturition LUTS. The feeling of incomplete emptying does not always correlate with the finding of significant residual urine, as it can be felt even with an empty bladder [3].…”

Section: Introductionmentioning

confidence: 99%

Clinical Factors Associated With the Feeling of Incomplete Bladder Emptying in Women With Little Postvoided Residue

Lee

Koo

2020

Int Neurourol J

View full text Add to dashboard Cite

Purpose: To investigate the clinical factors associated with the feeling of incomplete bladder emptying in female patients with lower urinary tract symptoms (LUTS).Methods: Records were obtained from a prospectively maintained database for 353 female patients without a history of treatment for LUTS. Patients with comorbidities that may affect voiding function and with postvoid residual (PVR) volume >20 mL or PVR volume-to-bladder capacity ratio of >10% were excluded. Finally, 211 patients were eligible for the study.Results: Patients were stratified according to the severity of the feeling of incomplete emptying: non-severe group (n=147, 69.7%) and severe group (n=64, 30.3%). The severe group showed longer time to maximum flow rate (Qmax) and greater total overactive bladder symptom score (OABSS). No differences in age, PVR volume, and diagnosis of overactive bladder (OAB) were found between the 2 severity groups. Multivariable analysis identified the severity of the feeling of incomplete emptying to be significantly associated with time to Qmax and minimum volume of voids. Time to Qmax was identified as a significant predictor of severe symptoms in women with OAB. In addition, the feeling of incomplete emptying, total OABSS, and minimum volume of voids were significantly associated with quality of life.Conclusions: Female patients with the feeling of incomplete emptying who have insignificant PVR volume exhibited severe voiding symptoms and low quality of life. The treatment strategy should be focused on improving the minimum volume of voids and shortening the time to Qmax.

show abstract

Feeling of incomplete bladder emptying: A definition with clinical implications

Cited by 5 publications

References 9 publications

Impact of Prostatic Artery Embolization in Patients with Enlarged True Middle Lobes

Impact of Prostatic Artery Embolization in Patients with Enlarged True Middle Lobes

Interventional therapy in benign conditions of the prostate

Clinical Factors Associated With the Feeling of Incomplete Bladder Emptying in Women With Little Postvoided Residue

Contact Info

Product

Resources

About