Circadian Patterns in Postvoid Residual and Voided Percentage Among Older Women with Urinary Incontinence
- PMID: 32230885
- PMCID: PMC7231299
- DOI: 10.3390/jcm9040922
Circadian Patterns in Postvoid Residual and Voided Percentage Among Older Women with Urinary Incontinence
Abstract
Background: Women with urinary incontinence incur an increased risk of elevated postvoid residual (PVR) volume and impaired voiding efficiency (i.e., voided percentage (Void%)), but the clinical significance of these parameters remains poorly described. Further characterization of PVR and voiding efficiency may thus be useful in refining the evaluation and management of urinary incontinence. This study aims to explore possible circadian variations in PVR and Void% in older women with stress (SUI), urge (UUI) and mixed urinary incontinence (MUI).
Methods: A single center prospective study which enrolled a convenience sample of 90 older women who consulted a tertiary referral hospital for urinary incontinence. Participants underwent an extensive medical interview and were hospitalized to complete a 24-h frequency-volume chart (FVC) with PVR measurement after each void (FVCPVR).
Results: FVCPVR analysis demonstrated no differences in mean PVR and Void% between patients with SUI, UUI and MUI. Likewise, no daytime or nighttime differences were observed in mean PVR or Void% within or between groups.
Conclusions: No evidence of circadian variation in PVR or Void% was observed in older women with SUI, UUI or MUI.
Keywords: age; circadian; diagnostic; female; imaging; pathophysiology.
Conflict of interest statement
V.D., T.M. and M.P. declare no conflict of interest. M.A. reports grants from Allergan, Astellas and Ferring, outside the submitted work. R.P. reports non-financial support from Coloplast and Wellspect, outside the submitted work. J.W. is a consultant for Ferring and the Institute for Bladder and Prostate Research, outside the submitted work. K.E. reports grants from Ferring, Astellas and Medtronic, outside the submitted work.
Comment in
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Geriatrics.J Urol. 2021 May;205(5):1492-1495. doi: 10.1097/JU.0000000000001664. Epub 2021 Feb 24. J Urol. 2021. PMID: 33625906 No abstract available.
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