A Diagnostic Dilemma: When Urodynamic Findings Differ from the Clinical Impression

Abstract

Consecutive patients (425) were evaluated with respect to the correlation between the clinical and urodynamic assessment of the symptoms. A disparity between the clinical and urodynamic diagnosis was found in 45% of the patients who were believed to have storage problems, 25% with emptying problems, and 54% with storage and emptying problems on clinical examination. The reasons for these disparities are outlined and a rationale for including urodynamic studies in the evaluation of patients with voiding dysfunction is presented.