Comparısıon of urodynamıc fındıngs ın women patıents wıth urınary ıncontınence

Urodynamic studies are the standart procedure to evaluate the bladder sensations. We therefore purposed to evaluate and compare urodynamic findings in patients with either mixed urinary incontinence (MUI), urge urinary incontinence (UUI) and stress urinary incontinence (SUI) . We also evaluate urodynamic findings of female urinary incontinence patients by using bladder sensitivity index.Totally 99 patients were included in the study, 35 of them had MUI, 33 of them had 33 and 31 of them had SUI. Patients with neurogenic bladder, fistula, urethral diverticulum, prior urologic surgery and known urinary system infection were excluded. History, physical examination findings, 3-days voidng diaries and urodynamic study findings of all patients were recorded. Bladder sensitivity index (BSI) was calculated as ratio of maximum bladder capacity (Vmax) to bladder capacity at first voiding desire (FVD) (Vmax/FVD).Average age of patients with MUI, UUI and SUI were 50,03 (50,37; 49,06 and 50,67; P=0,868 respectively). There were statistically significant differences between average daily voiding numbers of patients (10,94; 12,21 and 9,16; P=0,005). Bladder capacities and functional bladder capacities of all patients were different than eachother (420,42; 331,78 and 453,93; P<0,001 and 334,02; 273,33 and 340,87; P<0,001 respectively). Voiding pressures of patients with MUI and UUI were higher than SUI patients. Detrusor pressures at maximum voiding speed (Qmax) were 33,54; 32,69 and 25,03 respectively (P=0,021). There were no statistically significant differences between Qmax values of cases (25,31; 24,11 and 26,6; P=0,428). A mathematical difference was observed between BSI values of patients; however it did not reflect to statistic (1,84; 1,72 and 1,91; P=0,097 respectively). Likewise; when MUI and UUI patients are reviewed seperately between eachother, average BSI values were mathematically different however no statistical difference was observed (P=0,923; P=0,686 respectively).Urodynamic findings of patients with MUI, UUI and SUI differ from eachother. For the reason that there is a mathematical difference however no statisically significant difference was observed between BSI and urodynamic data, studying with broader patient series or different indexes to create will be useful to evaluate the issue more effectively.