The influence of water intake on waiting time prior to uroflowmetry: a prospective, randomized, double-blind trial

  • Nur Rasyid Department of Urology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta
  • Donny E. Putra Department of Urology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta
  • Widi Atmoko Department of Urology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta
  • Adianti Khadijah Department of Urology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta
  • Dyandra Parikesit Department of Urology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta
  • Ponco Birowo Department of Urology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta
Keywords: drinking, urinary bladder, uroflowmetry, waiting time
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Abstract

Background: In uroflowmetry examination, patients are usually instructed to intake a large volume of water and wait until the bladder is full. The association between the volume of water intake and the waiting time before uroflowmetry is unknown. The aim of this study is to investigate the relationship between the volume of water intake and the waiting time prior to uroflowmetry.

Methods: This trial was designed as a randomized, researchers, caregivers and patients blinded, superiority trial with three parallel groups and primary endpoint of waiting time prior to the uroflowmetry study based on the volume of patients' water intake. Randomization was performed by block randomization with a 1:1:1 allocation. Patients scheduled for uroflowmetry at the Urology Clinic of Cipto Mangunkusumo Hospital were enrolled from March 2013 until December 2013. The eligibility criteria were male patients with ages above 50 years and body mass index 18.5-24.9 kg/m2.

Results: A total of 83 patients was randomly assigned into 3 study groups: 300 ml (28 patients), 400 ml (28 patients), and 500 ml (27 patients). All patients were included in final analysis. Mean waiting time were 85.1±59.8 min, 107.2±70.4 min, and 66±28.4 min for patients intake 300, 400, and 500 ml of water respectively (p=0.07). The final bladder volumes for three groups were statistically different (262.4±130.8 ml, 289.4±126.2 ml, 359.2±137 ml; p=0.02).

Conclusion: The volume water intake of 300-500 ml did not affect waiting time before uroflowmetry. Increasing water intake at least 500 ml added the final bladder volume and shorter the waiting time.

References

  1. Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, et al. The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodyn. 2002;21(2):167-78. https://doi.org/10.1002/nau.10052

  2. Spigt M, Schayck OV, Knipschild P, Westerterp K, Beek CVD, Kerrebroeck PV, et al. Is it possible to improve elderly male bladder function by having them drink more water? A randomized trial of effects of increased fluid intake/urine output on male lower urinary tract function. Urology. 2006;68(5):1031-6. https://doi.org/10.1016/j.urology.2006.07.010

  3. Platz EA, Smit E, Curhan GC, Nyberg LM, Giovannucci E. Prevalence of and racial/ethnic variation in lower urinary tract symptoms and noncancer prostate surgery in U.S. men. Urology. 2002;59:877-83. https://doi.org/10.1016/S0090-4295(01)01673-9

  4. Irwin DE, Kopp ZS, Agatep B, Milsom I, Abrams P. Worldwide prevalence estimates of lower urinary tract symptoms, overactive bladder, urinary incontinence and bladder outlet obstruction. BJU Int. 2011;108(7):1132-8. https://doi.org/10.1111/j.1464-410X.2010.09993.x

  5. Kelly CE, Krane RJ. Current concepts and controversies in urodynamics. Curr Urol Rep. 2000;1:217-26. https://doi.org/10.1007/s11934-000-0022-4

  6. Schafer W, Abrams P, Liao L, Mattiasson A, Pesce F, Spangberg A, et al. Good urodynamic practices: uroflowmetry, filling cystometry, and pressure-flow studies. Neurourol. Urodinam. 2002;21(3):261-74. https://doi.org/10.1002/nau.10066

  7. Abrams P. Uroflowmetry. In: Abrams P. Urodynamics Third Edition. London: Springer; 2006. p. 20-38.

  8. Blaivas J, Chancellor MB, Weiss J, Verhaaren M. Uroflowmetry. In: Blaivas J, Chancellor MB, Weiss J, Verhaaren M. Atlas of Urodynamics Second Edition. New York: Blackwell Publishing; 2007. p. 37-45. https://doi.org/10.1002/9780470692141.ch2

  9. Su M, Woo HH. Severe hyponatremia from water intoxication associated with preparation for a urine flow study. J Med Cases. 2012;3(2):123-5. https://doi.org/10.4021/jmc498w

  10. Jordan J, Shannon JR, Black BK, Ali Y, Farley M, Costa F, et al. The pressor response to water drinking in human asympathetic reflex? Circulation. 2000;101(5):504-9. https://doi.org/10.1161/01.CIR.101.5.504

  11. Issa MM, Pruthi RS, Vial C, McNamara DE, Terris MK. An unusual complication following uroflowmetry: water intoxication resulting in hyponatremia and seizure. Urol Int. 1997;59:129-30. https://doi.org/10.1159/000283046

  12. Vishwajeet S, Aneesh S. Water intoxication leading to hyponatremia and seizures: a rare complication of uroflowmetry. Int Urol Nephrol. 2005;37:275-6. https://doi.org/10.1007/s11255-004-7973-1

  13. Titapant V, Phithakwatchara N, Chuenwattana P, Tontisirin P, Viboonchard S, Butsansee W. Influence of water intake on the waiting time prior to gynecologic transabdominal ultrasound. Int J Gynecol Obstet. 2009;105(3):233-5. https://doi.org/10.1016/j.ijgo.2009.01.020

  14. Simfroosh N, Dadkhah F, Hosseini SY, Asgari MA, Nasseri A, Safarinejad MR. Accuracy of residual urine measurement in men: comparison between real time ultrasonography and catheterization. J Urol. 1997;158:59-61. https://doi.org/10.1097/00005392-199707000-00016

  15. Alivizatos G, Skolarikos A, Albanis S, Ferakis N, Mitropoulos D. Unreliable residual volume measurement after increased water load diuresis. Int J Urol. 2004;11:1078-81. https://doi.org/10.1111/j.1442-2042.2004.00951.x

Published
2017-11-27
How to Cite
1.
Rasyid N, Putra DE, Atmoko W, Khadijah A, Parikesit D, Birowo P. The influence of water intake on waiting time prior to uroflowmetry: a prospective, randomized, double-blind trial. Med J Indones [Internet]. 2017Nov.27 [cited 2024Apr.24];26(3):212-7. Available from: http://mji.ui.ac.id/journal/index.php/mji/article/view/1628
Section
Clinical Research