BOOI and Qmax obtained during UDS appears to be the most discriminating urodynamic parameters of female BOO. The use of these cutoff might facilitate the identification of women with functional and anatomical obstruction.
Solifenacin treatment results in changes of urodynamic parameters. These changes, however, seem not to be of clinical significance as suggested by the lack of subjective deterioration in voiding difficulties and by the low incidence of AUR.
Our study confirms the coexistence of obstruction and stress urinary incontinence. In this population abnormal nonintubated uroflowmetry cannot always confirm the presence of urodynamic obstruction and complete urodynamic study might be indicated. Conversely normal nonintubated uroflowmetry seems to accurately predict normal urodynamic study and might render the execution of this test not essential. Symptoms represent a poor clinical indicator of voiding disorder.
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