The Value of Urodynamic Study in the Female Urethral Syndrome

Kim, Young Chan; Mah, Sang Yol; Choi, Seung Kang

Abstract

We have experienced the female urethral syndrome in many patients, but we are embarrassed in identifying the exact cause of each case and searching for the treatment modalities. Until now there have been many explanations on the causes of the female urethral syndrome without effective treatment methods. I thought there was a possibility of lower urinary tract dysfunction as an evoking factor of this syndrome and so we conducted this study with urodynamic examination on the cause of female urethral syndrome. We took urodynamic studies in female urethral syndrome at Yonsei University Hospital tom April 1984 till March, 1985 and have come to the conclusion as follows; 1: Among the 49 patients of female urethral syndrome, normal urodynamic findings was revealed in 13 cases (26.5%). 2. There were single abnormal finding in 22 cases (44.9%) which were composed of 10 cases (20.4%) of hypersensitive bladder findings, 1 case (2%) of unstable detrusor, 9 cases (18.3%) of high maximum urethral closure pressure and 2 cases (4%) of detrusor-sphincter dyssynergia. 3. The combined abnormal findings were noticed in 14 cases (28.6%), 12 cases (24.4%) of combined hypersensitive bladder and high maximum urethral closure pressure and 2 cases (4%) of combined hypersensitive bladder and detrusor-sphincter dyssynergia. 4. Hypersensitive bladder finding, which was main abnormal one was found in 24 cases (49.9%),while high maximum urethral closure pressure in 21 cases (42.9%) among 49 patients of female urethral syndrome. The urodynamic abnormalities must be considered as the causes of female urethral syndrome when we cannot find the exact cause of such as infection, gynecologic disease, urethral stricture and so. And I consider the further studies of treatment in female urethral syndrome are needed.