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Feeling of incomplete emptying with little post‐void residual in patients with lower urinary tract symptoms: Clinical implications and treatment outcomes
Author(s) -
Kobayashi Minoru,
Tokura Yuumi,
Kambara Tsunehito,
Nukui Akinori,
Kamai Takao
Publication year - 2019
Publication title -
luts: lower urinary tract symptoms
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.451
H-Index - 15
eISSN - 1757-5672
pISSN - 1757-5664
DOI - 10.1111/luts.12217
Subject(s) - feeling , medicine , lower urinary tract symptoms , urinary system , overactive bladder , quality of life (healthcare) , international prostate symptom score , prostate , urology , psychology , nursing , social psychology , alternative medicine , pathology , cancer
Objective The aim of the present study was to examine the clinical features and implications of a feeling of incomplete emptying despite little post‐void residual (PVR), because it remains unclear why patients are bothered by such an undefined feeling. Methods Data were collected prospectively from 173 consecutive patients (135 men, 38 women) with a complaint of a feeling of incomplete emptying with PVR <50 mL at an initial visit. The International Prostate Symptom Score (IPSS), quality of life (QoL) score, overactive bladder symptom score (OABSS), prostate volume, and PVR were determined. Subjective symptoms were re‐evaluated after 8 weeks of medication for co‐occurring urinary symptoms. Results Most patients presented with high scores for a feeling of incomplete emptying, determined by Item 1 on the IPSS. The score for a feeling of incomplete emptying was positively correlated with all IPSS‐related scores. Men with a feeling of incomplete emptying more often had co‐occurring voiding symptoms with higher scores than women. Significant symptom relief was achieved for a feeling of incomplete emptying as well as voiding and storage symptoms after treatment. In men, there was a positive correlation between the extent of symptom relief of a feeling of incomplete emptying and voiding symptoms. Conclusions A feeling of incomplete emptying with little PVR is frequently observed in routine clinical practice in both men and women, along with voiding and storage symptoms. This feeling was simultaneously improved by medications for co‐occurring urinary symptoms.