Akademik Veri Yönetim Sistemi
13th International Medicine and Health Sciences Researches Congress, Ankara, Türkiye, 26 - 27 Ağustos 2023, ss.1095-1101
Abstract: Objective: The aim of this study is to investigate the prevelance of voiding symptoms(VS) in women with
urodinamically confirmed bladder outlet obstruction(BOO) or under active bladder(UAB) who presented with
storage symptoms(SS). Methods: A total of 793 female patients aged 18–75 years, who presented only with lower
urinary tract SS and had sufficient urological evaluations, were included in the study. BOO was diagnosed using
the Solomon-Greenwell nomogram. VS presence detected in symptom investigation was examined in BOOdiagnosed patients. The projected isovolumetric pressure (PIP1) formula was used for UAB diagnosis. VS
presence detected in symptom investigation was examined in UAB-diagnosed patients. Results: It was noted that
360 of the 793 patients included in the study had sufficient quality pressure-flow studies, and analyses were
conducted on the data of these patients. It was observed that 78 (21.6%) of the patients had a bladder outlet
obstruction in females (BOOIF) score >18. Among these patients, 41 (52.5%) had VS, while 37 (47.5%) did not.
Among the 135 patients with VS, 41 (30.4%) had a BOOIF score >18, while among the 225 patients without VS, 37 (16.4%) had a BOOIF score >18. A statistically significant difference was noted between the two groups (p =
0.002). In 26 patients, a PIP1 value of <30 was detected. Among these patients, 13 (50%) had VS, while 13 (50%)
did not. Among the 135 patients with VS, 13 (9.6%) had a PIP1 value <30, while among the 225 patients without
VS, 13 (5.7%) had a PIP1 value <30. No statistically significant difference was found between the two groups (p
= 0.172). Conclusion: In our study, a statistically significantly higher BOO was found in patients with concomitant
SS-VS. However, the presence of VS accompanying SS did not make a statistically significant difference in the
diagnosis of UAB.
Keywords: Bladder Outlet Obstruction, Underactive Bladder, Storage Symptoms, Voiding Symptoms