Ultrasound‐assisted prompted voiding for management of urinary incontinence of nursing home residents: Efficacy and feasibility

Suzuki, Motofumi; Iguchi, Yasuhiro; Igawa, Yasuhiko; Yoshida, Mikako; Sanada, Hiromi; Miyazaki, Hideyo; Homma, Yukio

doi:10.1111/iju.13156

Cited by 18 publications

(36 citation statements)

References 21 publications

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“…The VAS score assessing the burden of voiding care was almost unchanged in the USAPV group, but it worsened in the CPV group. We previously reported significant improvement in two subscales of emotional and mental health of SF‐36 in care workers practicing USAPV . These results consistently indicate that USAPV did not deteriorate the care workers’ QOL.…”

Section: Discussionsupporting

confidence: 73%

“…The present study demonstrated that USAPV care significantly reduced daytime urine loss of incontinent nursing home residents compared with CPV care. We have previously shown that USAPV care decreases absorbent consumption in incontinent hospitalized adults and incontinent elderly living in nursing homes . This study is the first randomized controlled trial to confirm the significantly higher efficacy of USAPV than of CPV in managing UI, which is common in the elderly population.…”

Section: Discussionmentioning

confidence: 57%

“…Regular monitoring of intravesical urine volume may prevent delayed prompting or non‐voiding in the toilet. In previous studies, the USAPV method was found to reduce absorbent consumption in 63% (50/80) of hospitalized incontinent adults and 52% (40/77) of nursing home residents . However, these studies lacked controls receiving conventional prompted voiding (CPV) care.…”

Section: Introductionmentioning

confidence: 99%

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Ultrasound‐assisted prompted voiding care for managing urinary incontinence in nursing homes: A randomized clinical trial

Suzuki

Miyazaki

Kamei

et al. 2019

Neurourology and Urodynamics

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AimsTo determine whether ultrasound‐assisted prompted voiding (USAPV) care is more efficacious than conventional prompted voiding (CPV) care for managing urinary incontinence in nursing homes.MethodsThirteen participating nursing homes in Japan were randomized to CPV (n = 7) or USAPV care group (n = 6). Residents of the allocated nursing homes received CPV (n = 35) or USAPV (n = 45) care for 8 weeks. In the CPV group, caregivers asked the elderly every 2‐3 h whether they had a desire to void and prompted them to void when the response was yes. In the USAPV group, caregivers regularly monitored bladder urine volume by an ultrasound device and prompted them to void when the volume reached close to the individually optimized bladder capacity. Frequency‐volume chart was recorded at the baseline and after the 8‐week intervention to measure the daytime urine loss.ResultsThe change in daytime urine loss was statistically greater in the USAPV (median, −80.0 g) than in the CPV (median, −9.0 g; P = .018) group. The proportion of elderly individuals whose daytime urine loss decreased by >25% was 51% and 26% in the USAPV and CPV group, respectively (P = .020). Quality‐of‐life measures of elderly participants showed no significant changes in both groups. The care burden scale score of caregivers was unchanged in the USAPV group (P = .59) but significantly worsened in the CPV group (P = .010) after the intervention.ConclusionsUSAPV is efficacious and feasible for managing urinary incontinence in nursing homes.

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Section: Discussionsupporting

confidence: 73%

Section: Discussionmentioning

confidence: 57%

Section: Introductionmentioning

confidence: 99%

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Ultrasound‐assisted prompted voiding care for managing urinary incontinence in nursing homes: A randomized clinical trial

Suzuki

Miyazaki

Kamei

et al. 2019

Neurourology and Urodynamics

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“…This has important implications for patient care. As mentioned previously, prompted voiding with monitoring of intravesical urine volume using US bladder scanners is useful not only for improving urinary incontinence in elderly people, but also for reducing the cost of absorbents and improving care workers' quality of life . The Lilium α‐200 may provide a further advantage because it enables periodic automated monitoring of bladder volume, which could reduce the workload of care workers in determining the appropriate timing of prompted voiding.…”

Section: Discussionmentioning

confidence: 99%

“…Currently, ultrasound (US) devices are widely used to assess bladder volume, with several portable US bladder scanners being used in clinical practice with adequate accuracy and reproducibility . Previous reports have also suggested that prompted voiding with monitoring of intravesical urine volume using US devices is useful not only for improving urinary incontinence in elderly people, but also for reducing the cost of absorbents and improving care workers' quality of life . However, bladder urine volume in these studies could only be measured at regular intervals by a care worker or nurse rather than continuously.…”

Section: Introductionmentioning

confidence: 99%

Feasibility of approximate measurement of bladder volume in male patients using the Lilium α‐200 portable ultrasound bladder scanner

Kamei

Watanabe

Homma

et al. 2019

LUTS

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Objective: This study examined the accuracy of a new portable ultrasound bladder scanner, the Lilium α-200 (Lilium Otsuka, Kanagawa, Japan), by evaluating the correlation between bladder volumes periodically measured by the Lilium α-200 and instilled volume during videourodynamic studies (V-UDS). Methods: Using the Lilium α-200, fluid volume was measured prospectively in the bladders of patients with lower urinary tract dysfunction during V-UDS. This was done both immediately after micturition (for assessment of post-void residual [PVR] volume) and at 1-minute intervals during filling cystometry with patients in the supine position. These measurements were then compared with the PVR volume obtained directly by catheter drainage and instilled volume during cystometry using paired t tests and Spearman's rank correlation.Results: Fifteen male patients (median age 70.5 years; range 18-84 years) were included in the study. The PVR volume measured by the Lilium α-200 was strongly correlated with that obtained by catheter drainage (r = 0.94; P < 0.0001). There was a strong correlation between instilled and bladder volumes measured by the Lilium α-200 at every minute during and at the

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Incontinence in frail elderly persons: Report of the 6th International Consultation on Incontinence

Gibson

Johnson

Kirschner‐Hermanns

et al. 2020

Neurourology and Urodynamics

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Background: Evidence-based guidelines for the management of frail older persons with urinary incontinence are rare. Those produced by the International Consultation on Incontinence represent an authoritative set of recommendations spanning all aspects of management. Aims: To summarize the available evidence relating to the management of urinary incontinence in frail older people published since the 5th International Consultation on Incontinence. Materials and Methods: A series of systematic reviews and evidence updates were performed by members of the working group to update the 2012 recommendations. Results: Along with the revision of the treatment algorithm and accompanying text, there have been significant advances in several areas of the management of lower urinary tract symptoms in frail older people. Discussion: The committee continues to note the relative paucity of data concerning frail older persons and draw attention to knowledge gaps and research opportunities. Clinicians treating older people with lower urinary tract symptoms should use the available evidence from studies of older people combined with careful extrapolation of those data from younger subjects. Due consideration to an individual's frailty and wishes is crucial.

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Ultrasound‐assisted prompted voiding for management of urinary incontinence of nursing home residents: Efficacy and feasibility

Abstract: The management of urinary incontinence for nursing homes residents through ultrasound-assisted prompted voiding seems to reduce the absorbent cost and to partially improve care workers' quality of life.

Cited by 18 publications

References 21 publications

Ultrasound‐assisted prompted voiding care for managing urinary incontinence in nursing homes: A randomized clinical trial

Ultrasound‐assisted prompted voiding care for managing urinary incontinence in nursing homes: A randomized clinical trial

Feasibility of approximate measurement of bladder volume in male patients using the Lilium α‐200 portable ultrasound bladder scanner

Incontinence in frail elderly persons: Report of the 6th International Consultation on Incontinence

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