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Article Dans Une Revue Progrès en Urologie Année : 2015

[Evaluation of urine postvoid residuals in post-partum period: a prospective and descriptive clinical study].

Évaluation des résidus postmictionnels du postpartum : étude prospective descriptive

Résumé

INTRODUCTION: Few studies have evaluated urine postvoid residuals (PVRs) and their risk factors during the post-partum (PP) period. The aim of this prospective study was to screen postvoid residuals in a cohort of patients in PP, and to identify the risk factors. MATERIALS AND METHODS: For three months, patients in PP were given an evaluation of their PVR (ultrasounds method) after a spontaneous urination. Clinical data as regards delivery were collected. RESULTS: One hundred and sixty-eight patients were included. Among them, 61% had a urine volume at the first urination over 500 mL, and 52% presented with a pathological PVR (PVR over 150 mL for a urine volume over 150 mL). The median PVR was 153.50 mL. The median volume of the first spontaneous urination was 400 mL. Among patients with a pathological PVR, the total duration of the labor and the duration of its second phase were significantly longer (P=0.003 and P<0.05, respectively), and the volume of the first urination was higher. Indwelling catheterization during the delivery decreased the volume of the first spontaneous urination (volume over 500 mL in 28% vs 72% of patients, P=0.017) but was not associated with a decreased PVR in non-pathological deliveries. Instrumental deliveries were associated with higher PVRs than caesarean or physiological deliveries (244 mL, 180 mL et 156 mL; P=0.033). A bacteriuria was not significantly associated with PVR (54% vs 49%, P>0.05). CONCLUSION: We were able to identify risk factors for PVR in the PP, such as the duration of labor, instrumental delivery and elevated volume of the first urination after delivery.
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Dates et versions

hal-01939369 , version 1 (29-11-2018)

Identifiants

Citer

M. Neron, B. Fatton, M. Monforte, P. Mares, R. de Tayrac, et al.. Évaluation des résidus postmictionnels du postpartum : étude prospective descriptive. Progrès en Urologie, 2015, 25 (4), pp.211-216. ⟨10.1016/j.purol.2014.09.043⟩. ⟨hal-01939369⟩
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