Article

PURPOSE: To evaluate the clinical usefulness of a bladder scan protocol for
measuring urinary retention with a Portable Ultrasonographic Device (PUD) in
stroke patients. This is case-control study. The study enrolled a total
of 52 stroke patients with post-void residual urine (PVR) volume > 100 mL. The
case group (n = 26) was managed using our bladder scan protocol until the PVR
volume fell below 100 mL. A PVR volume > 400 mL resulted in intermittent urinary
catheterization (IC). The control group (n = 26) was not managed using the
bladder scan protocol. We compared outcomes for the two groups. RESULTS: The case
and control groups were similar in terms of the total scanning period (days). The
number of scanning days after the PVR volume fell below < 100 mL was less for the
case than the control group (2.3 versus 8.5 days; p < 0.001). Scanning was
discontinued before the PVR volume fell below 100 mL in one case group and seven
control group patients (p < 0.05). The mean IC volume was nearly 400 mL in the
case group, without any bladder overdistensions and without any urinary tract
infections. CONCLUSIONS: Our bladder scan protocol for urinary retention after
stroke may be useful as this allows catheterization of an adequate urine volume
and reduces unnecessary bladder scanning.

Langue : ANGLAIS