An Evaluation of the Postvoid Residual Urine Volume in Acute Stroke Patients

Kaori Yamashita,1,2 Miyuki Kudo,2 Motoya Ando,2 Hikaru Ashida,2 Takahiro Shiseki,1,3 Satoshi Kubota,1 Tetsushi Sakamoto,1 Masashi Inui1,2 1Department of Urology, Tokyo Women’s Medical University Yachiyo Medical Center, Yachiyo, Japan; 2A Multidisciplinary Specialized Team, Tokyo Women’s Medical University Yachiyo Medical Center, Yachiyo, Japan; 3Department of Urology, Graduate School of Medicine, Chiba University, Chiba, JapanCorrespondence: Kaori Yamashita, Department of Urology, Tokyo Women’s Medical University Yachiyo Medical Center, 477-96, Owadashinden, Yachiyo-shi, Chiba, 276-8524, Japan, Tel +81 474506000, Fax +81 474587047, Email [email protected]: We analyzed the time course of postvoid residual urine volume for patients with cerebrovascular diseases in the acute phase.Materials and Methods: A multidisciplinary specialized team measured postvoid residual urine volume of 65 patients (31 patients with cerebral infarction and 34 patients with cerebral hemorrhage) from September 2021 to August 2023. If a patient’s postvoid residual urine volume was 100 mL or more, an indwelling urinary catheter was reinserted with or without medication, or clean intermittent catheterization was performed with or without medication. The multidisciplinary specialized team took repeated measurements of postvoid residual urine volume for a patient at every week’s round until the postvoid residual urine volume was < 100 mL. The cumulative incidence of the time interval between the onset of the cerebrovascular accident and the day of postvoid residual urine volume < 100 mL was calculated as 1 + the Kaplan–Meier estimator.Results: In the Kaplan–Meier estimator, the median cumulative incidence of the period between the onset of a cerebrovascular accident and the day in which postvoid residual urine volume was < 100 mL was 16.5 days and 15.5 days for patients with cerebral infarction and cerebral hemorrhage, respectively. No significant difference existed between the two groups in the time interval from the onset of a cerebrovascular accident to the day in which postvoid residual urine volume was < 100 mL (The P value from the Log-rank test was 0.845). The time interval between the onset of a cerebrovascular accident and the day in which postvoid residual urine volume was < 100 mL was 75 days after the onset of both types of cerebrovascular accidents.Conclusion: Postvoid residual urine volume of patients with cerebrovascular disease was expected to become < 100 mL within 75 days after the onset of the cerebrovascular accident.Keywords: lower urinary tract symptom, multidisciplinary specialized team, stroke