Abstract
The goal of measuring bladder capacity is to estimate the volume of urine a patient typically stores before experiencing a desire to void. This measure gives the clinician an idea of whether urinary symptoms are due to diminished bladder capacity, increased fluid intake, or other causes. This information assists the clinician with selecting treatment and management strategies for the patient. Bladder capacity can be assessed in several different ways. Reliability of these measures depends on sound urodynamics technique and consistent patient instruction during testing. Interpreting measures of bladder capacity obtained during urodynamic testing is an important skill that involves understanding the limitations of these measures as well as common artifacts of the study. Several examples of interpretation for a variety of bladder conditions that impact cystometric capacity, cystometrogram tracings, and videofluoroscopic imaging of the bladder are discussed in this chapter.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Haylen BT, de Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J, Monga A, Petri E, Rizk DE, Sand PK, Schaer GN. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J. 2009;21(1):5–26.
Amundsen CL, Parsons M, Tissot B, Cardozo L, Diokno A, Coats AC. Bladder diary measurements in asymptomatic females: functional bladder capacity, frequency, and 24-hr volume. Neurourol Urodyn. 2007;26(3):341–9.
Berger RM, Maizels M, Moran GC, Conway JJ, Firlit CF. Bladder capacity (ounces) equals age (years) plus 2 predicts normal bladder capacity and aids in diagnosis of abnormal voiding patterns. J Urol. 1983;129(2):347–9.
Zerin JM, Chen E, Ritchey ML, Bloom DA. Bladder capacity as measured at voiding cystourethrography in children—relationship to toilet training and frequency of micturition. Radiology. 1993;187:803.
Hamano S, Yamanishi T, Igarashi T, Ito H, Murakami S. Functional bladder capacity as predictor of response to desmopressin and retention control training in monosymptomatic nocturnal enuresis. Eur Urol. 2000;37(6):718–22.
Bael AM, Lax H, Hirche H, Hjälmš K, Tamminen-Möbius T, Van Hoeck KM, van Gool JD. Reference ranges for cystographic bladder capacity in children—with special attention to vesicoureteral reflux. J Urol. 2006;176(4 Pt 1):1596–600. On behalf of the International Reflux Study in Children.
Heesakkers JP, Vandoninck V, van Balken MR, Bemelmans BL. Bladder filing by autologous urine production during cystometry: a urodynamic pitfall! Neurourol Urodyn. 2003;22(3):243–5.
Lee SW, Kim JH. The significance of natural bladder filling by the production of urine during cystometry. Neurourol Urodyn. 2008;27(8):772–4.
Abrams P. Urodynamic technique. In: Abrams P, editor. Urodynamics. 3rd ed. London: Springer; 2006. p. 17–116.
Wyndaele JJ. Normality in urodynamics studied in healthy adults. J Urol. 1999;161:899–902.
Pauwels E, De Wachter S, Wyndaele JJ. Normality of bladder filling studied in symptom-free middle-aged women. J Urol. 2004;171(4):1567–70.
Yoon E, Swift S. A comparison of maximum cystometric bladder capacity with maximum environmental voided volumes. Int Urogynecol J. 1998;9(2):78–82.
Cass AS, Ward BD, Markland C. Comparison of slow and rapid fill cystometry using liquid and air. J Urol. 1970;104:104–8.
Jensen JK. Urodynamic evaluation. In: Ostergard DR, Bent AE, editors. Urogynecology and urodynamics. 4th ed. Baltimore: Williams and Wilkins; 1991. p. 116–21.
Klevmark B. Volume threshold for micturition. Influence of filling rate on sensory and motor bladder function. Scand J Urol Nephrol Suppl. 2002;210:6–10.
Diokno AC, Wells TJ, Brink CA. Comparison of self-reported voided volume with cystometric bladder capacity. J Urol. 1987;137(4):698–700.
Abrams PH, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, Van Kerrebroeck PEV, Wein AJ. The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodyn. 2002;21:167–78.
Herbison P, Hay-Smith J, Ellis G, Moore K. Effectiveness of anticholinergic drugs compared with placebo in the treatment of overactive bladder: systematic review. BMJ. 2003;326(7394):841–4.
Smith CP, Radziszewski P, Borkowski A, Somogyi GT, Boone TB, Chancellor MB. Botulinum toxin a has antinociceptive effects in treating interstitial cystitis. Urology. 2004;64(5):871–5.
Johansen TE, Botto H, Cek M, Grabe M, Tenke P, Wagenlehner FM, Naber KG. Critical review of current definitions of urinary tract infections and proposal of an EAU/ESIU classification system. Int J Antimicrob Agents. 2011;38(Supple):64–70.
Abrams P. Describing bladder storage function: overactive bladder syndrome and detrusor overactivity. Urology. 2003;62(5 Suppl 2):28–37.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer Science+Business Media New York
About this chapter
Cite this chapter
Smith, A.L., Wang, M.Y., Wein, A.J. (2015). Bladder Filling and Storage: “Capacity”. In: Rovner, E., Koski, M. (eds) Rapid and Practical Interpretation of Urodynamics. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1764-8_11
Download citation
DOI: https://doi.org/10.1007/978-1-4939-1764-8_11
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4939-1763-1
Online ISBN: 978-1-4939-1764-8
eBook Packages: MedicineMedicine (R0)