Circadian Patterns in Postvoid Residual and Voided Percentage Among Older Women with Urinary Incontinence

Veerle Decalf; Thomas F Monaghan; Marie-Astrid Denys; Mirko Petrovic; Ronny Pieters; Jeffrey P Weiss; Karel Everaert

doi:10.3390/jcm9040922

Circadian Patterns in Postvoid Residual and Voided Percentage Among Older Women with Urinary Incontinence

J Clin Med. 2020 Mar 27;9(4):922. doi: 10.3390/jcm9040922.

Authors

Veerle Decalf¹, Thomas F Monaghan², Marie-Astrid Denys¹, Mirko Petrovic^{3

4}, Ronny Pieters⁵, Jeffrey P Weiss², Karel Everaert^{1

5}

Affiliations

¹ Faculty of Medicine and Health Sciences, Department of Human Structure and Repair, Ghent University, 9000 Ghent, Belgium.
² Department of Urology, State University of New York Downstate Health Sciences University, Brooklyn, NY 11203, USA.
³ Department of Geriatrics, Ghent University Hospital, 9000 Ghent, Belgium.
⁴ Faculty of Medicine and Health Sciences, Department of Internal Medicine and Pediatrics, Ghent University, 9000 Ghent, Belgium.
⁵ Department of Urology, Ghent University Hospital, 9000 Ghent, Belgium.

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 (FVC_PVR).

Results: FVC_PVR 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.