PMID- 28794589
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240326
IS  - 0974-7796 (Print)
IS  - 0974-7834 (Electronic)
IS  - 0974-7796 (Linking)
VI  - 9
IP  - 3
DP  - 2017 Jul-Sep
TI  - Is urodynamic study is a necessity for evaluation of lower urinary tract symptoms 
      in postmenopausal female patients? Result of a prospective observational study.
PG  - 239-243
LID - 10.4103/UA.UA_170_16 [doi]
AB  - AIM: The aim of this study is to evaluate the causes of lower urinary tract 
      symptoms (LUTS) in postmenopausal female patients (PMFP) and correlate their 
      symptoms with their urodynamic study (UDS) findings. MATERIALS AND METHODS: A 
      prospective observational study analyzing the clinical and UDS findings of PMFP 
      presenting with LUTS. A detailed history including history of diabetes, 
      neurological disease, drug history, and pelvic surgeries was taken, followed by 
      physical examination and urodynamic assessment. RESULTS: A total of 100 patients 
      were classified according to their predominant symptoms into three categories: 
      (1) voiding dysfunction (45 patients), (2) storage symptoms (30 patients), and 
      (3) urinary incontinence (25 patients). The patients with voiding LUTS could be 
      categorized urodynamically into three grades of bladder outlet obstruction (BOO): 
      (a) early (37.8%) (maximal flow [Qmax] >15 mL/s and detrusor pressure at maximal 
      flow [PdetQmax] >30 cm of water), (b) compensated (31.1%) (Qmax <15 mL/s and 
      PdetQmax >30 cm of water), and (c) late (31.1%) (Qmax <15 mL/s and PdetQmax <30 
      cm of water). The patients with storage symptoms could be categorized into two 
      with either the presence of demonstrable idiopathic detrusor contractions (53.3%) 
      or not (46.7%). The patients with incontinence were of three types: (a) stress 
      incontinence (44%), (b) urge incontinence (28%), and (c) mixed incontinence 
      (28%). UDS showed no demonstrable leak in nine patients (36%) and the rest had 
      UDS findings corroborative to their symptoms. CONCLUSIONS: Thus, the major LUTS 
      in PMFP were BOO, storage symptoms, and incontinence. Proper evaluation of LUTS 
      necessitates UDS and along with good physical examination can help us in reaching 
      a correct diagnosis and plan respective treatment.
FAU - Choudhury, Sunirmal
AU  - Choudhury S
AD  - Department of Urology, Institute of Post Graduate Medical Education and Research, 
      Kolkata, West Bengal, India.
FAU - Das, Susanta Kumar
AU  - Das SK
AD  - Department of Urology, Institute of Post Graduate Medical Education and Research, 
      Kolkata, West Bengal, India.
FAU - Jana, Debarshi
AU  - Jana D
AD  - Department of Urology, Institute of Post Graduate Medical Education and Research, 
      Kolkata, West Bengal, India.
FAU - Pal, Dilip Kumar
AU  - Pal DK
AD  - Department of Urology, Institute of Post Graduate Medical Education and Research, 
      Kolkata, West Bengal, India.
LA  - eng
PT  - Journal Article
PL  - India
TA  - Urol Ann
JT  - Urology annals
JID - 101510823
PMC - PMC5532890
OTO - NOTNLM
OT  - Bladder outlet obstruction
OT  - lower urinary tract symptoms
OT  - postmenopausal female patients
OT  - urinary incontinence
OT  - urodynamic study
COIS- There are no conflicts of interest.
EDAT- 2017/08/11 06:00
MHDA- 2017/08/11 06:01
PMCR- 2017/07/01
CRDT- 2017/08/11 06:00
PHST- 2017/08/11 06:00 [entrez]
PHST- 2017/08/11 06:00 [pubmed]
PHST- 2017/08/11 06:01 [medline]
PHST- 2017/07/01 00:00 [pmc-release]
AID - UA-9-239 [pii]
AID - 10.4103/UA.UA_170_16 [doi]
PST - ppublish
SO  - Urol Ann. 2017 Jul-Sep;9(3):239-243. doi: 10.4103/UA.UA_170_16.