USE OF URODYNAMIC TEST IN MEN WITH LOWER URINARY TRACT SYMPTOMS: EVALUATION OF 150 PATIENTS
Abstract
Introduction: Use of urodynamic test in men with lower urinartract symptoms in the absence of any abnormality on rutine urologic evaluation (i.e, physical exam, urine analysis, radiologic and endoscopic investigations). Detection of these disorders can therefore load to proper treatment of patients who received in appropriate therapy. We studied the relative frequency of neurogenic disorders on urodynamic testing of young men with lower urinary tract symptoms and normal routine urologic evaluation.
Methods: We conducted a descriptive study by consecutive sampling of 150 male patients 20 to 40 years old with lower urinary tract symptoms and normal finding on routine urologic evaluations.
Urodynamic studies (uroflowmetry, cystometry and pressure- flow study) were performed after; interview; Physical exames, neurourologic evaluation and a review of previous laboratory and radiologic studies. Statistical analysis with Chi-square and Fisher's exact test was performed using SPSS software.
Results: Neurogenic disorders were in 42 (28%) patients. Abnormal urodynamic finding were observed in 82 (54.7%) patients (P = 0.001). Abnormal urodynamic finding were most commonly related to the urethra (40 patients, 48.8% P < 0.110).The frequency of abnormal urodnamic findings increased with increasing age (P = 0.001). Abnormal urodynamic findings were more common in married as compared to single patients (63.8% versus 44.3%; P < 0.001).
The abnormal urodyniamic findings were more than in patients with history of urinary tract infection or a history of abdominal operation.
Discussion: Neurogenic disorders were detected in ore than a quarter of young males with lower urinary tract symptoms and a normal routine urologic evaluation. Therefore, urodynamic tests can help in well management of patients with theirs low cost.
Methods: We conducted a descriptive study by consecutive sampling of 150 male patients 20 to 40 years old with lower urinary tract symptoms and normal finding on routine urologic evaluations.
Urodynamic studies (uroflowmetry, cystometry and pressure- flow study) were performed after; interview; Physical exames, neurourologic evaluation and a review of previous laboratory and radiologic studies. Statistical analysis with Chi-square and Fisher's exact test was performed using SPSS software.
Results: Neurogenic disorders were in 42 (28%) patients. Abnormal urodynamic finding were observed in 82 (54.7%) patients (P = 0.001). Abnormal urodynamic finding were most commonly related to the urethra (40 patients, 48.8% P < 0.110).The frequency of abnormal urodnamic findings increased with increasing age (P = 0.001). Abnormal urodynamic findings were more common in married as compared to single patients (63.8% versus 44.3%; P < 0.001).
The abnormal urodyniamic findings were more than in patients with history of urinary tract infection or a history of abdominal operation.
Discussion: Neurogenic disorders were detected in ore than a quarter of young males with lower urinary tract symptoms and a normal routine urologic evaluation. Therefore, urodynamic tests can help in well management of patients with theirs low cost.
Keywords
Neurogenic Bladder- Lower urinary tract symptoms Urodynamic test