Initial Study of Urodynamic Profile in Evaluating Lower Urinary Tract Problems: A Single Center Experience

Urodynamic testing is crucial for evaluating lower urinary tract (LUT) and other urological conditions related to bladder and urethral function. This study aims to profile LUT problems in our center to target specific diagnostic and treatment strategies. This descriptive and retrospective study utilized secondary data from 324 patients who underwent urodynamic evaluation in the Department of Urology, Persahabatan National Hospital, between February 2022 and May 2023. Among patients with suspected benign prostatic hyperplasia (BPH), over half (52.7%) presented with reduced bladder capacity, with 40.2% showing detrusor overactivity (DO) and 37.5% displaying detrusor underactivity (DU). More than half (59.2%) of urinary retention patients suffered from DU with small bladder capacity (43.7%) and low bladder compliance (32.4%). Similarly, in the overactive bladder (OAB) group, 54.5% had reduced bladder capacity, which was also predominant (56.0%) in the urodynamic stress urinary incontinence (USI) group. Among patients suspected of having neurogenic bladder, 73.3% had DU, 48.9% had small blaSadder capacity, and 40% exhibited bladder atony. Furthermore, among the five pediatric patients assessed, three had a small bladder capacity, low compliance, and DU. These findings underscore the significance of urodynamic testing, which can contribute to better evidence-based treatment in managing LUT dysfunction.