Moderate agreement between bladder capacity assessed by frequency volume charts and uroflowmetry, in adolescent and adult enuresis patients

Neurourol Urodyn. 2017 Mar;36(3):745-747. doi: 10.1002/nau.23012. Epub 2016 Apr 6.

Abstract

Aims: Frequency Volume Charts (FVC) are recommended for the evaluation of enuretic patients. Although this is a good instrument for the assessment of functional bladder capacity, it is known that patient compliance could introduce problems. Therefore, we assessed whether uroflowmetry and post-void residual volume could replace FVC recordings in specific cases, by comparing the bladder capacity as measured by FVC or uroflowmetry.

Methods: We performed post-hoc analyses using data from a retrospective cohort study, in secondary/tertiary care. This included 907 patients between 2003 and 2013, aged ≥11 years, suffering from enuresis (≥1 wet night/fortnight). Data were collected from the medical files. Bland Altman plots were made to compare the two methods.

Results: Agreement between uroflowmetry and FVC was reasonable only when uroflowmetry was between 200 and 450 ml.

Conclusions: For individual clinical purposes, uroflowmetry can be used if values are in this range. For future research, we recommend to keep measuring bladder capacity with an FVC. Neurourol. Urodynam. 36:745-747, 2017. © 2016 Wiley Periodicals, Inc.

Keywords: bladder capacity; enuresis; frequency volume chart; uroflowmetry.

MeSH terms

  • Adolescent
  • Child
  • Enuresis / physiopathology*
  • Female
  • Humans
  • Male
  • Retrospective Studies
  • Urinary Bladder / physiopathology*
  • Urination / physiology*
  • Young Adult