E-Posters-Does the Symptom of Bladder Pain Influence the Urodynamic Diagnosis?

Does the Symptom of Bladder Pain Influence the Urodynamic Diagnosis? - Visha Tailor, MRCOG

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A retrospective cohort study was conducted to determine if bladder pain in women has any influence on urodynamic diagnoses. The study included 3,428 women aged between 16-90 who underwent routine urodynamic studies. Women with bladder pain were identified and compared to those without bladder pain.<br /><br />The results of the study showed that women with bladder pain were more likely to present with additional symptoms such as prolapse, overactive bladder, and incontinence. There was a higher occurrence of urodynamic stress incontinence and a lower frequency of detrusor overactivity in women with bladder pain. However, there was no difference in non-diagnostic urodynamic studies, low bladder compliance, mixed stress incontinence or sensory urgency between the two groups.<br /><br />The findings suggest that women with bladder pain have a different symptom and urodynamic profile compared to those without bladder pain. Despite the higher occurrence of associated incontinence and overactive bladder symptoms, detrusor overactivity is not commonly found in women with bladder pain. This indicates a potential difference in the underlying cause of symptoms. Therefore, it is important for healthcare professionals to routinely ask about bladder pain when assessing patients with lower urinary tract symptoms. Further investigations, such as cystoscopy, may also be considered.<br /><br />In conclusion, women with bladder pain have different urodynamic diagnoses compared to those without bladder pain. This study highlights the importance of considering bladder pain as a symptom and conducting appropriate assessments for women with lower urinary tract symptoms. No conflicts of interest were reported in the study.

Keywords

retrospective cohort study

bladder pain

women

urodynamic diagnoses

prolapse

overactive bladder

incontinence

urodynamic stress incontinence

detrusor overactivity

lower urinary tract symptoms