![]() Int Urogynecol J 2010 21:5–26Ībrams P, Cardozo L, Fall M et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. ![]() Haylen BT, de Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J, Monga A, Petri E, Rizk DE, Sand PK, Schaer GN. In certain circumstances pain may not be a presenting feature, for example when due to prolapsed intervertebral disc, post partum, or after regional anaesthesia such as an epidural anaesthetic. In cases of good contractility, surgery will restore normal voiding dynamics (6, 11), in cases of a very week detrusor relief of BOO may not improve voiding function (10).Ī good change in the definition involves recognition that acute retention is not always painful. In patients with an elevated PVR, the clinical question is whether the detrusor muscle still functions or not. What we really need is a clinical translation of ‘bladder decompensation', that is a measure in terms of muscle contractility. From a clinical standpoint, we need to understand which patients may benefit from relief of BOO and clinical studies suggest that an elevated PVR with a weak detrusor is associated with an increased risk of poor outcome after surgery. The fine threshold between elevated PVR and CUR is unclear and is not necessarily linked to the presence of complications the lack of a good definition of CUR makes epidemiological studies impossible. There is a marked intra-individual variability of PVR (9). There is no consistent evidence that PVR is directly related to the degree of bother (7). Some investigators have defined CUR as a PVR of > 300 mL (3), others have defined it as > 400 mL (4), or have given it no definite number at all (5, 6). Future definitions could consider these parameters.Ĭurrent definitions do not included and objective volume. An association between upper urinary tract dilatation and high pressure CUR was noted (6, 11). These two groups also tended to have different symptoms, the low-pressure group complaining of hesitancy, slow stream, and a feeling of incomplete emptying, while the high pressure group also complained of urgency. Retention episodes can be divided by any or all of the following: 1) ability of patient to release any urine (complete or partial) 2) duration (acute or chronic) 3) symptoms (painful or silent) 4) mechanism (obstructive or non-obstructive) 5) urodynamic findings (high or low pressure). Chronic retention of urine it is defined as a non-painful bladder, which remains palpable or percussable after the patient has passed urine such patient may be incontinent. Or percussable bladder, when the patient is unable to pass any urine. Or percussable bladder, when the patient is unable to pass any urine when the bladderĬhronic retention of urine (CUR) - this is defined as a non-painful bladder, where there is aĪccording to Abrams et al (2) Acute retention of urine this is defined as a painful, palpable, Urinary retention - complaint of the inability to pass urine despite persistent effort.Īcute retention of urine - this is defined as a generally (but not always) painful, palpable,
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