Evaluation of Bothersome Urological Symptoms in Perimenopausal Women Attending Gynaecology Clinic and Its Correlation with Urodynamic Findings

Mohini Gangopadhyay, Sumanta Kumar Mondal, Sunirmal Choudhury, Subhash Chandra Biswas

Abstract: Aim: To evaluate the patient coming with urological symptoms and to provide a pathophysiological explanation by correlating the patient's symptoms with the urodynamic findings. Materials and methods: A crossectional observational study analysing urodynamic study (UDS) findings of perimenopausal women presenting with lower urinary tract symptoms (LUTS) with American Urological Association (AUA) score >8. A detailed history of diabetes, neurological disease, drug history and pelvic surgeries taken followed by physical examination and urodynamic assessment. Results: In total 102 patients belonged to age group between 40 to 50 yrs of age were studied where 84% had storage dysfunction followed by voiding dysfunction in 16 %. In the storage dysfunction group majority 42.8 % had overactive bladder (OAB) followed by Mixed Urinary Incontinence (MUI) 35.7% and Stress Urinary Incontinence (SUI) 21.5%. Mean MCC (Maximum Cystometric Capacity) of continent was 500 ml and of UUI (Urgency Urinary Incontinence) patients having significantly reduced 333 ml. 76 patients had showed Idiopathic detrusor activity in their UDS findings of which 52% had Terminal Overactivity and 24% had Phasic Overactivity. Patients with incontinence was categorized to MUI 39.4% followed by 36.8% had UUI and 23.6% had SUI. In the Voiding Dysfunction group, 62.5% had Detrusor Underactivity and 37.5 % had features of BOO (Bladder Outlet Obstruction). BOO was further categorised to early, compensated and late grades based on Q_max (Peak flow Rate) & P_det @Q_max (Detrusor Pressure at peak flow velocity) In this study we had 66.7% compensated BOO and rest had late BOO. Conclusions: Bothersome LUTS decreases quality of life in females in perimenopausal age group. Despite relative invasiveness of UDS, patients with bothersome LUTS in perimenopausal age group needs good history, physical examination along with urodynamic study for proper evaluation of patients which helps in appropriate diagnosis and management.

Keywords: Perimenopausal, LUTS, urodynamic study, Bladder outlet obstruction, Incontinence

How to Cite?: Mohini Gangopadhyay, Sumanta Kumar Mondal, Sunirmal Choudhury, Subhash Chandra Biswas, "Evaluation of Bothersome Urological Symptoms in Perimenopausal Women Attending Gynaecology Clinic and Its Correlation with Urodynamic Findings", Volume 14 Issue 11, November 2025, International Journal of Science and Research (IJSR), Pages: 952-956, https://www.ijsr.net/getabstract.php?paperid=SR251112205116, DOI: https://dx.doi.org/10.21275/SR251112205116