TY - JOUR
TI - Are voiding symptoms really associated with abnormal urodynamic voiding parameters in women?: Original article: Clinical investigation
AU - Jeffery, S.T.
AU - Doumouchtsis, S.K.
AU - Vlachos, I.S.
AU - Fynes, M.M.
JO - International Journal of Urological Nursing
PY - 2008
VL - 15
TODO - 12
SP - 1044-1048
PB - 
SN - 1749-7701, 1749-771X
TODO - 10.1111/j.1442-2042.2008.02180.x
TODO - adult;  aged;  article;  bladder contraction;  bladder emptying;  cystometry;  female;  human;  major clinical study;  micturition;  micturition disorder;  postvoid residual urine volume;  prediction;  priority journal;  prospective study;  receiver operating characteristic;  symptom;  urine flow rate;  urodynamics;  uroflowmetry, Adult;  Aged;  Aged, 80 and over;  Female;  Humans;  Middle Aged;  Prospective Studies;  ROC Curve;  Urination;  Urination Disorders;  Urine;  Urodynamics
TODO - Objectives: To examine the relationship between voiding symptoms and objective measurements of voiding dysfunction. Methods: We prospectively collected data from 116 consecutive women attending for urodynamic investigations. Symptoms of voiding dysfunction and objective voiding parameters including uroflowmetry and post-void residual volume were evaluated. Results: Sixteen (14%) patients reported a symptom of straining, 21 (18%) double voiding, 32 (27%) post-micturition dribbling, 10 (8%) poor stream and 34 (29%) incomplete emptying. Using receiver-operator curves we were unable to determine a cut-off value for flow or residual volume where symptoms became more prevalent. Poor stream was, however, a good predictor for a residual volume of >100 mL and >150 mL. Strain predicted a residual volume of >100 and >150 mL and it correlated with maximum flow rate <15 mL/s. The other three symptoms did not correlate with any of the cut-off values. Conclusions: Poor steam and strain are weakly predictive of abnormal voiding function. © 2008 The Japanese Urological Association.
ER -