Different urodynamic patterns in female XXXX : Can urodynamics alone reach the diagnosis?

@entity1 @entity322 @entity4358 @entity3885 @entity1876
OBJECTIVE: To define the different urodynamic patterns in female @entity1876 ( @entity1876 ) and to assess whether urodynamics alone can be relied on for the diagnosis. @entity1 AND METHODS: This prospective study included 60 clinically obstructed @entity1 and 27 with stress urinary @entity322 as a control group. All @entity1 had pressure-flow studies and were divided into four groups. Group A (control group, 27 @entity1 ) and group B (22) had a maximum urinary flow rate (Q max) of >15  mL/s and a detrusor pressure at Q max (P det Q max) of <30 or >30  cm @entity4358 , respectively. Group C (20 @entity1 ) and group D (18) had a Q max of <15  mL/s and a P det Q max of >30 or <30  cm @entity4358 , respectively. RESULTS: The mean Q max for groups A, B, C, and D were 21.8, 21.9, 10.8 and 9.9  mL/s, respectively, while the mean P det Q max was 20.8, 40.4, 48.7, and 18.7  cm @entity4358 , respectively. The residual urine volume was <100  mL in groups A and B but >100  mL in groups C and D. When compared with group A, groups B-D had a significant difference in vesical pressure, groups B and C had a significant difference in P det Q max, while Q max, the maximum voided volume and residual urine volume were significantly different in groups C and D. Group A was obviously unobstructed, group B might have @entity3885 , group C had compensated obstruction, while group D can be considered to have late de-compensated obstruction. CONCLUSIONS: @entity1876 in females has three different urodynamic patterns, i.e. early, compensated and late obstruction. However, urodynamics should be combined with the clinical presentation and residual urine volume for an accurate diagnosis.
