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- Title
The Effect of Collection Method On Urinalysis Results in Women With Pelvic Organ Prolapse.
- Authors
Shalom, Dara F.; Liao, Christina; O'Shaughnessy, Danielle L.; Winkler, Harvey A.
- Abstract
Objective: To determine whether the midstream clean catch technique yields accurate urinalysis results in women with advanced urogenital prolapse. Methods: This prospective study included women with pelvic organ prolapse to or beyond the vaginal hymen and who were being treated at an urogynecologic center. Midstream clean catch and catheterized urine specimens were obtained for each patient, and samples were compared by microscopic urinalysis. Agreement between techniques was calculated using weighted and Cohen's kappa (κ). Results: Seventy-two patients with a mean age of 60.3 years were evaluated. There was no significant agreement between clean catch and catheterized specimen when evaluating bacteria (κ = 0.44), white blood cells (κ= 0.44), leukocyte esterase (κ = 0.33), red blood cells (κ= 0.23), and squamous epithelial cells (κ = 0.06). Urine specimens obtained via midstream clean catch technique had significantly higher leukocyte esterase (p < 0.0001), squamous epithelial cells (p < 0.0033), and white blood cells (p < 0.0001) compared to catheterized specimens. Conclusion: There was inadequate agreement between collection techniques on all major components of a microscopic urinalysis with the exception of nitrites. These results indicate that the midstream clean catch does not yield accurate urinalysis results in women with advanced urogenital prolapse. Level of Evidence -- II (Polit & Beck, 2012)
- Publication
Urologic Nursing, 2014, Vol 34, Issue 3, p128
- ISSN
1053-816X
- Publication type
Academic Journal
- DOI
10.7257/1053-816X.2014.34.3.128