title: Correlation between clinical presentation and urodynamic findings in women attending urogynecology clinic.
abstract: BACKGROUND
  Urodynamic studies objectively observe lower urinary tract function and dysfunction so that an appropriate treatment can be planned. In the present study, we tried to evaluate the role of urodynamic studies in the final diagnosis and management plan in patients attending an urogynecology clinic.
  
  
  METHODS
  This observational study was conducted in an urogynecology clinic. 202 women were included. After detailed history, pelvic examination and introital sonography these women were subjected to urodynamic study. During the filling cystometry detrusor activity, first desire to void and bladder capacity was recorded. This was followed by urethral pressure measurements, when functional urethral length, maximum urethral closure pressure and stress urethral pressure profile was recorded.
  
  
  RESULTS
  Most prevalent complaint was mixed urinary incontinence (33.17%), followed by stress incontinence (31.68%) and urge incontinence (13.37%). According to the standard urodynamic definition 66.33% were normal in the population studied. None of the urodynamic parameters individually or in combination were found to be very useful for establishing a diagnosis.
  
  
  CONCLUSIONS
  Establishment of the final diagnosis of urinary incontinence and planning of management should be based on detailed history, physical examination, bladder diaries, and careful interpretation of urodynamic data. Urodynamic study; however, doesn't seem to be imperative to establish a diagnosis in uncomplicated cases where symptoms and signs are reliable and correlating.
authors.affiliation: Department of OBGYN, KMC Manipal, Manipal University, Karnataka, India.
authors.forename: Deeksha
authors.initials: D
authors.lastname: Pandey
authors.affiliation: Department of OBGYN, Waldburg-Zeil Kliniken Klinik Tettnang, Tettnang, Germany.
authors.forename: Gasser
authors.initials: G
authors.lastname: Anna
authors.affiliation: Department of OBGYN, Waldburg-Zeil Kliniken Klinik Tettnang, Tettnang, Germany.
authors.forename: Ottenschlaeger
authors.initials: O
authors.lastname: Hana
authors.affiliation: Department of OBGYN, Waldburg-Zeil Kliniken Klinik Tettnang, Tettnang, Germany.
authors.forename: Fuenfgeld
authors.initials: F
authors.lastname: Christian
keywords: Mixed incontinence; stress incontinence; urge incontinence; urodynamic findings