Prevalence and characteristics of voiding difficulties in women: are subjective symptoms substantiated by objective urodynamic data?

Health problems associated with lower urinary tract symptoms in older women

“…Finally, it has to noted that even though voiding symptoms may suggest problems in bladder emptying, the correlation of self-reported symptoms with voiding difficulties has been poor in urodynamic examinations, especially in women [19,20]. On the other hand, in a study by Stanton and associates [19], poor stream was the most common urinary symptom reported by women with voiding difficulties, and in another clinical study slow stream was the only LUTS associated with elevated residual volumes in hospitalized older women [13].…”

Unrecognized Voiding Difficulty in Female Type 2 Diabetic Patients in the Diabetes Clinic

“…Impaired detrusor contractility may lead to incomplete bladder emptying and subsequently result in voiding difficulty, urinary retention, chronic urinary tract infection (UTI), and upper urinary tract damage (1,3,4). Although diabetic cystopathy is common, with a reported prevalence ranging from 25 to 87% (1), it is frequently not recognized by patients and physicians due to its insidious development and inconspicuous symptoms.…”

Transurethral resection in women with lower urinary tract symptoms

“…Participants ranged in age from 27 to 82 years (mean, 57.6). The mean total I-PSS score was 21.9 out of 35 (range 8-34), the mean storage score was 9.3 out of 15 (range [4][5][6][7][8][9][10][11][12][13][14][15] and the mean voiding score was 12.7 out of 20 (range [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20].…”

“…2 The AUASI has been shown to correlate poorly with urodynamic findings, such as obstruction in men and women. 11,[17][18][19][20][21][22] Obstruction of the lower urinary tract in women is an uncommon diagnosis. In the present study, of the 108 cases with moderate or severe lower urinary tract symptoms, only 25 had urodynamic evidence of impaired bladder emptying.…”

“…17 Groutz and colleagues demonstrated that only one fifth of patients with subjective symptoms had urodynamicallyproven voiding difficulties. 11 In a prospective study of 1000 women referred for lower urinary tract symptoms, Clarke found that only 15 patients (less than 2% of the study population) had urodynamic evidence of voiding difficulty. 22 In the present study, the peak flow rate of patients improved little after the surgical procedure, from a mean of 18.99 ± 8.65 to 20.29 ± 7.02 mL/s at 6 months and 19.71 ± 7.27 at 24 months.…”