DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20163549

A cross sectional study to assess the need of urodynamic studies in lower urinary tract patients attending an urogynaecology clinic

Deepa Joshi, K. Lalitha, Piyush Joshi, Satish Saroshe

Abstract


Background: Urodynamic studies are gold standard to objectively diagnose lower urinary tract symptoms and dysfunction Aims and Objectives: To correlate clinical symptoms of lower urinary tract with urodynamic study to know whether urodynamics is really required routinely in patients with lower urinary tract symptoms (LUTS).

Methods: The study was conducted at Century hospital Hyderabad and Dr Lalitha’s urogynaecology clinic Hyderabad, India during 15 days; from 2 September 2015 till 16 September 2015 with 48 patients. All cases coming to urogynaecology clinic who were taken up for urodynamic study were included. Statistical analysis was done by  student’s t test with p<0.05 considered statistically significant.

Results: Total patients with urinary frequency were 13 out of which 7 (53.84%) had cystometric capacity of less than 200ml. Out of 16 patients with urgency and urge incontinence 10 (62.50%) had high detrussor pressure during voiding. 50% patients had max cystometric capacity <200ml. Out of 7 patients with SUI (stress urinary incontinence) only one had genuine stress incontinence; all oth-ers had mixed incontinence with either raised EMG or raised Pdet. Out of 15 patients with com-plaints of voiding dysfunction 14 (93.33%) had low flow rate that is Qmax <15ml/sec. Out of 15 patients 2 had features of DSD (detrussor sphincter dyssynergia). Total 6 patients had raised EMG as cause for difficult voiding.

Conclusions: Detrusor sphincter dyssynergia as a cause of dysfunctional voiding is diagnosed using urodynamic study with EMG. Urodynamic study is important and useful tool to evaluate female lower urinary tract symptoms and unnecessary delay in doing a detailed urodynamics should be avoided.


Keywords


Detrussor sphincter dyssynergia, SUI. Urogynaecology, Urodynamic studies

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