Urodynamic study played a very crucial role in confirming urinary incontinence (UI), differentiating its type and assessing its severity. In addition, it is considered to be the gold standard tool for every patient with UI for directing the line of treatment and for follow up. Objective: To determine the role of urodynamic study in confirming the diagnosis of UI in Iraqi women. Differentiate the type of UI and assess the importance of risk factors in its development. Materials and Methods: This study was performed in the Urology Department, Gazi Al Hariri Hospital, Baghdad Teaching Medical City between January - May, 2011. Seventy five female subjects aged 18 to 78 years were studied (50 patients and 25 control subjects). Medical history, clinical examination and urodynamic tests were performed. Results: Twenty six patients suffer stress UI, 9 patients had urged UI, and 11 patients with mixed UI. Only 4 incontinent patients showed normal urodynamic study. The mean urinary bladder capacity of patients was smaller than those of control subjects, specifically those patients with stress and urge UI. Significantly less volumes of first desire and strong desire to void in most patients than those of control subjects. Urethral pressure profile and urethral closure pressure, values were significantly less in stress and mixed UI patients groups. However, urge and mixed UI patients show significantly higher maximum detrosal pressure. All UI patients have higher maximum urine flow rate and average urine flow rate values. The volume of post voiding residual urine was not different between UI patients groups and control subjects. Conclusion: Urodynamic study has an important role in confirming the diagnosis of UI and differentiating its type.
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Saudi J Health Sci Jan-Apr 2013; 2(1): 39-45.
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