URO-DYNAMIC EVALUATION

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Abstract

Objective: To describe the pattern of Urodynamic evaluation at Armed
Forces Institute of Rehab Medicine, Rawalpindi. Study Design: Descriptive study. Materials and Methods: This study
was conducted on 466 patients reporting for urodynamic evaluation at Urodynamic/Incontinence Clinic at A F Institute
of Rehab Medicine from Feb 2003 to Dec 2006. We considered the age, gender, etiology, reason for referral, and
presenting complaints whereas results were formulated according to Classification of voiding disorders by International
society of Incontinence. Data was analyzed using statistical package forSocial Science version 10. Results: In all (466)
patients, 58% were males and 42% were females. Mean age was 46.8 years. Increased frequency (61%) and
incontinence (52%) were the most common presenting complaints, 158(34%) had spinal cord injuries, 58 were cases
of myelodysplasias and 128 reported with stress incontinence. Urodynamic studies showed that 152(33%) had
hyperactive bladders, 110(24%) had a contractile/hypo-contractile bladders, 104(22%) had stress incontinence and

56(12%) cases had normal results. Conclusion: Urodynamics helps in diagnosis of potentially life threatening urinary
problems. The availability of this equipment and trained staff must be encouraged at tertiary care hospital. More
research is required in this regard in Pakistan, which shall help in formulating better management protocols in future