Post-Void Residual (PVR) Bladder Urine Measurements in New York City
by Dr. Alex Shteynshlyuger, a board-certified urologist, and specialist in the treatment of enlarged prostate, BPH, and urinary retention. He is one of the first urologists in the US and NYC to offer Urolift and prostate enucleation, an alternative to traditional TURP as a treatment for enlarged prostate.
What is Post-Void Residual Urine Volume?
Postvoid residual volume is a measurement of the amount of urine left in the bladder after urination. Normally, minimal amount or no urine should be left in the bladder after urination.
How is Post Void Residual Urine Volume Measured?
Postvoid residual can be measured using ultrasound (sonogram) to measure the volume left in the bladder after urination. PVR can also be measured by inserting a urinary catheter inside the bladder after urination to drain and measure residual urine in the urinary bladder that is left after urination. At New York Urology Specialists we measure post-void residual using high-resolution ultrasound to achieve the highest level of precision.
What is PVR (Post Void Residual)) Used for?
Postvoid residual is used in men and women with urinary problems to determine the cause of the problem and to guide treatment. Elevated postvoid residual volume can predispose to urinary tract infections, frequent urination, and can be a sign of multiple urological problems.
Elevated postvoid residual (PVR) is a sign of incomplete bladder emptying and urinary retention.
What are the Causes of High Post-Void Residual Bladder Volume?
Elevated postvoid residual or incomplete bladder emptying may be caused by damage to the nerves of the bladder or bladder muscles that do not contract effectively to empty the bladder.
Bladder diverticula, bladder tumors, and bladder stones may also cause elevated postvoid residual.
Incomplete bladder emptying is most commonly caused by an increased resistance of blockage that prevents complete bladder emptying. The causes of incomplete bladder emptying are different in men and women.
In women, the most common causes of incomplete bladder emptying is pelvic organ prolapse. In men, the most common cause of incomplete bladder emptying is enlarged prostate caused by BPH. Urethral strictures may also cause incomplete bladder emptying and urinary retention.
What is the Treatment for Elevated PVR?
Treatment of elevated postvoid residual depends on the underlying problem as well as the symptoms that it is causing. Treatment may include medications, surgery, and behavioral modification.
What Are My Options Right Now For Treatment Of Enlarged Prostate?
For patients suffering from symptoms of the enlarged prostate such as slow urine stream, urinary urge, frequent urination and waking up at night to urinate, procedures such as Urolift procedure and Rezum procedure are currently available in the United States and have similar efficacy and safety profile as iTind. These procedures are performed in our offices at New York Urology Specialists.
For men with very large prostates, laser enucleation of the prostate is a good and effective treatment option. Our surgeons are experienced in performing laser enucleation of the prostate in NYC.
Why Choose New York Urology Specialists for Treatment of Urinary Retention Caused by Enlarged Prostate?
- All treatment is performed by a Board-certified urologist experienced in treating men with symptoms of BPH using medical therapy, minimally invasive therapies, lasers and open surgery.
- We are one of the few practices in the region to offer a full range of options for treatment of BPH.
- We offer BPH treatment options under local anesthesia which avoids the risks, costs, and recovery from general anesthesia. Most men are able to return to office work and other normal activities the next day.
- Extensive Experience: Hundreds of men treated successfully using medical therapy, Urolift, lasers for BPH (Holmium, Thulium, Evolve, Greenlight lasers), Bipolar TURP, traditional TURP, open suprapubic prostatectomy, robotic suprapubic prostatectomy for BPH.
- We treat men with BPH who have heart problems (hypertension, CAD, CHF), renal failure (ESRD) on hemodialysis, men on blood thinners such as aspirin, Lovenox, Coumadin (Warfarin), apixaban, rivaroxaban (Xarelto).
When it comes to experience and innovation – New York Urology Specialists are a step ahead. Better Science Means Better Care. We specialize in minimally invasive highly effective treatment for symptoms of enlarged prostate and BPH. Many treatment procedures are performed in the convenience and privacy of office settings under local anesthesia.
Medicare and major insurances accepted. We offer affordable rates and financing options.
Schedule an Appointment with Dr. Shteynshlyuger:
Dr. Alex Shteynshlyuger is a fellowship trained board-certified urologist with expertise in evaluation and treatment of urinary problems in men. He uses modern effective and proven treatment methods including prostate enucleation and Urolift for BPH. He is highly recommended by top primary care physicians in the New York area.
He has successfully performed hundreds of prostate procedures in adults. Urolift procedures are performed in the office under local anesthesia, in a surgical center and affiliated hospitals under anesthesia.
We offer affordable, highest-quality urology care with or without insurance. Find out our office hours or directions to our office. We offer weekday, weekend and evening office hours.