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Related Experiment Videos

Do urinary symptoms correlate with urodynamic findings?

C Amundsen1, M Lau, S F English

  • 1Department of Obstetrics, Gynecology and Reproductive Sciences, University of Texas-Houston Medical School, USA.

The Journal of Urology
|May 20, 1999
PubMed
Summary

Urinary symptoms did not reliably predict video urodynamic findings in women with incontinence. Few questionnaire items helped identify normal study results, indicating limited value in differentiating incontinence causes based on symptoms alone.

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Area of Science:

  • Urology
  • Gynecology

Background:

  • Urinary incontinence is a common condition affecting women.
  • Accurate diagnosis often requires objective testing.

Purpose of the Study:

  • To investigate the correlation between subjective urinary symptoms and objective video urodynamic findings.
  • To assess the utility of patient-reported symptoms in diagnosing the etiology of urinary incontinence.

Main Methods:

  • 115 women with urinary incontinence complaints completed a 27-item questionnaire.
  • Pelvic examination and video urodynamic studies were conducted.
  • Statistical analysis (Student's t test) was used to compare subjective scores and urodynamic results.

Main Results:

  • Video urodynamic studies revealed various etiologies including stress urinary incontinence (SUI), intrinsic sphincter deficiency (ISD), pelvic prolapse with SUI, and detrusor instability.

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  • Symptoms like incontinence during physical activity were common in SUI groups.
  • Nocturia, frequency, urgency, urge incontinence, and incomplete emptying were not statistically significant predictors for any subgroup.

    • Conclusions:

    • Subjective urinary symptomatology is not a reliable tool for differentiating the causes of urinary incontinence.
    • A limited number of specific questions may help predict normal video urodynamic study outcomes.