caa a22 4500 477045928 CHVBK 20180405111330.0 cr unu---uuuuu 170330e19960301xx s 000 0 eng 10.1007/BF01902376 doi (NATIONALLICENCE)springer-10.1007/BF01902376 Nygaard I. Department of Obstetrics and Gynecology, University of Iowa College of Medicine, 52242, Iowa City, USA aut Postvoid residual volume cannot be accurately estimated by bimanual examination [Elektronische Daten] [I. Nygaard] This study aimed to test the recommendation in the Agency for Health Care Policy and Research Practice Guideline on urinary incontinence that postvoid residual volume PVR estimates can be done by palpation. Postvoid residual volumes were obtained on 50 consecutive women presenting for evaluation of incontinence. Volumes were first estimated by bimanual examination and were then immediately measured by catheterization. Of 7 women who had a positive PVR, defined as greater than 50 ml, only 1 was estimated at greater than 50 ml on bimanual examination. The sensitivity of bimanual examination compared to catheterization to detect a positive PVR was 14%; specificity was 67%. Based on this assessment, the AHCPR guideline's inclusion of palpation estimates of PVR cannot be endorsed, unless a given practitioner has repeated a similar type of evaluation in his or her practice to determine whether the sensitivity is higher than that found in this study. The International Urogynecology Journal, 1996 Bladder volume nationallicence Bladder volume measurement nationallicence Postvoid residual volume nationallicence Residual urine nationallicence International Urogynecology Journal Springer-Verlag 7/2(1996-03-01), 74-76 0937-3462 7:2<74 1996 7 192 https://doi.org/10.1007/BF01902376 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF01902376 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Nygaard I. Department of Obstetrics and Gynecology, University of Iowa College of Medicine, 52242, Iowa City, USA aut NATIONALLICENCE 773 0- International Urogynecology Journal Springer-Verlag 7/2(1996-03-01), 74-76 0937-3462 7:2<74 1996 7 192 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer