Urinating standing versus sitting: position is of influence in men with prostate enlargement. A systematic review and meta-analysis.
<h4>Background</h4>It is suggested that the body posture during urination can influence urodynamic parameters in patients with Lower Urinary Tract Symptoms (LUTS) to an extent approaching pharmacological interventions. In this article, the influence of body position during micturition on...
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| Format: | Article |
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Public Library of Science (PLoS)
2014-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0101320 |
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| author | Ype de Jong Johannes Henricus Francisca Maria Pinckaers Robin Marco ten Brinck Augustinus Aizo Beent Lycklama à Nijeholt Olaf Matthijs Dekkers |
| author_facet | Ype de Jong Johannes Henricus Francisca Maria Pinckaers Robin Marco ten Brinck Augustinus Aizo Beent Lycklama à Nijeholt Olaf Matthijs Dekkers |
| author_sort | Ype de Jong |
| collection | DOAJ |
| description | <h4>Background</h4>It is suggested that the body posture during urination can influence urodynamic parameters in patients with Lower Urinary Tract Symptoms (LUTS) to an extent approaching pharmacological interventions. In this article, the influence of body position during micturition on maximum urinary flow rate (Qmax), voiding time (TQ) and post-void residual volume (PVR) in healthy males and patients with LUTS is analyzed by means of a systematic review and meta-analysis.<h4>Evidence acquisition</h4>A systematic search was conducted in 14 medical databases. Studies comparing urodynamic parameters in standing versus sitting position were eligible for inclusion. Studies were stratified according to health status of included male participants: healthy individuals and patients with LUTS. Standardized mean differences for Qmax, TQ and PVR were pooled in a random effects model.<h4>Results</h4>Eleven articles were included. In men with LUTS, a significantly lower PVR (-24.96 ml; 95%CI -48.70 to -1.23) was shown in sitting position compared to standing. In accordance, Qmax was increased (1.23 ml/s; 95%CI -1.02 to 3.48), and TQ was decreased (-0.62 s; 95%CI -1.66 to 0.42) in sitting position, although these differences did not reach statistical significance. In healthy men, Qmax (0.18 ml/s; 95% CI -1.67 to 2.02), TQ (0.49 s; 95%CI -3.30 to 4.27) and PVR (0.43 ml; 95%CI -0.79 to 1,65) were similar in sitting and standing position.<h4>Conclusion</h4>For healthy men, no difference is found in any of the urodynamic parameters. In patients with LUTS, the sitting position is linked with an improved urodynamic profile. |
| format | Article |
| id | doaj-art-babcb461737d4fabaf8046af2eeeede6 |
| institution | DOAJ |
| issn | 1932-6203 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-babcb461737d4fabaf8046af2eeeede62025-08-20T02:46:01ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0197e10132010.1371/journal.pone.0101320Urinating standing versus sitting: position is of influence in men with prostate enlargement. A systematic review and meta-analysis.Ype de JongJohannes Henricus Francisca Maria PinckaersRobin Marco ten BrinckAugustinus Aizo Beent Lycklama à NijeholtOlaf Matthijs Dekkers<h4>Background</h4>It is suggested that the body posture during urination can influence urodynamic parameters in patients with Lower Urinary Tract Symptoms (LUTS) to an extent approaching pharmacological interventions. In this article, the influence of body position during micturition on maximum urinary flow rate (Qmax), voiding time (TQ) and post-void residual volume (PVR) in healthy males and patients with LUTS is analyzed by means of a systematic review and meta-analysis.<h4>Evidence acquisition</h4>A systematic search was conducted in 14 medical databases. Studies comparing urodynamic parameters in standing versus sitting position were eligible for inclusion. Studies were stratified according to health status of included male participants: healthy individuals and patients with LUTS. Standardized mean differences for Qmax, TQ and PVR were pooled in a random effects model.<h4>Results</h4>Eleven articles were included. In men with LUTS, a significantly lower PVR (-24.96 ml; 95%CI -48.70 to -1.23) was shown in sitting position compared to standing. In accordance, Qmax was increased (1.23 ml/s; 95%CI -1.02 to 3.48), and TQ was decreased (-0.62 s; 95%CI -1.66 to 0.42) in sitting position, although these differences did not reach statistical significance. In healthy men, Qmax (0.18 ml/s; 95% CI -1.67 to 2.02), TQ (0.49 s; 95%CI -3.30 to 4.27) and PVR (0.43 ml; 95%CI -0.79 to 1,65) were similar in sitting and standing position.<h4>Conclusion</h4>For healthy men, no difference is found in any of the urodynamic parameters. In patients with LUTS, the sitting position is linked with an improved urodynamic profile.https://doi.org/10.1371/journal.pone.0101320 |
| spellingShingle | Ype de Jong Johannes Henricus Francisca Maria Pinckaers Robin Marco ten Brinck Augustinus Aizo Beent Lycklama à Nijeholt Olaf Matthijs Dekkers Urinating standing versus sitting: position is of influence in men with prostate enlargement. A systematic review and meta-analysis. PLoS ONE |
| title | Urinating standing versus sitting: position is of influence in men with prostate enlargement. A systematic review and meta-analysis. |
| title_full | Urinating standing versus sitting: position is of influence in men with prostate enlargement. A systematic review and meta-analysis. |
| title_fullStr | Urinating standing versus sitting: position is of influence in men with prostate enlargement. A systematic review and meta-analysis. |
| title_full_unstemmed | Urinating standing versus sitting: position is of influence in men with prostate enlargement. A systematic review and meta-analysis. |
| title_short | Urinating standing versus sitting: position is of influence in men with prostate enlargement. A systematic review and meta-analysis. |
| title_sort | urinating standing versus sitting position is of influence in men with prostate enlargement a systematic review and meta analysis |
| url | https://doi.org/10.1371/journal.pone.0101320 |
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