How Much is There a Correlation Between Clinical Symptoms and Urodynamic Findings of Overactive Bladder Patients?

Abstract

Background & Objective: Overactive bladder (OAB) is a syndrome that has serious adverse effects on daily activities and therefore causes many economic burden and psychological consequences. The present study was conducted with aim to determine if there are differences between clinical symptoms and detrusor overactivity (DO) in patients with overactive bladder syndrome (OAB). Materials & Methods: This cross-sectional study was conducted on women with symptoms of overactive bladder referred to the urodynamic unit of pelvic floor clinic of Vali-E-Asr Reproductive Health Research Center between February 2018 and December 2022. Patients were divided into two groups with DO (DO group) and without DO (NDO group) based on urodynamic findings and then compared in terms of demographic characteristics and urodynamic variables in filling and voiding phase. Results: Among the 125 analyzed patients, DO was diagnosed in 36 patients (28). DO group had older age (P=0.02), a greater number of menopause (P=0.03) and more disturbing urinary condition in the questionnaire (ICIQ-OAB) (P=0.02). Conclusion: As the results of this study showed, nearly one-third of OAB patients had DO. The presence of DO is associated with older age and has a greater effect on the quality of life. Also, they had lower first desire and maximal capacity in urodynamic study. © 2025.