The relationship between symptoms and urodynamic evaluation in women with urinary incontinence

OBJECTIVE: In this study we investigated the relationship between urodynamic findings and medical history, the type of urinary incontinence in women with urinary incontinence. STUDY DESIGN: The retrospective analysis which includes 161 incontinent women wham evaluated with urodynamic investigation between 1990-2001 in Urology department of Cumhuriyet University, Faculty of Medicine was performed. RESULTS: A total of 161 incontinent women were investigated and 67 of 90 women with complaints of pure stress incontinence (74.5%) had genuine stress incontinence, 23 of 40 women with complaints of pure urge incontinence (57.5%) had detrusor instability, 13 of 31 women with complaints of mixed incontinence (41.9%) had mixed incontinence in urodynamic evaluation. CONCLUSION: Pure stress incontinence and pure urge incontinence complaints in medical history had high sensitivity and specifity for diagnosis as well as as uradynamic investigations. But without urodynamic evaluation, medical history is not sufficient alone in objective diagnosis.