Clinical and urodynamic presentations of young men with dysfunctional voiding

Abstract

Objective:: To evaluate the urodynamic presentations of men 20 from the ICS nomogram, Group 3; Patients with an interrupted flow secondary to intermittent sphincteric contractions. Bowel function was assessed using the patient assessment of constipation-symptoms (PAC-SYM) questionnaire. Sexual dysfunction was evaluated using the International Index of Erectile Function (IIEF) questionnaire. Results:: The mean age of the cohort was 36.5 (range 18–50) years. 136/218 (62%) demonstrated voiding dysfunction (VD). 39% (n = 53) of the 136 men with VD were diagnosed with DV. 14, 19 and 20 men voided with low-pressure-low-flow, high-pressure-low flow and an intermittent pattern respectively. Patients in group 3 had significantly lower PVRs than patients in group 1 and 2 (mean ∼152 ml). Bowel symptoms and sexual function questionnaire results were available in 25 patients with DV. 15/25 patients reported bothersome bowel and/or sexual dysfunction. Conclusion:: DV was observed in almost 14of young men presenting with LUTS. The presenting LUTS, P/F patterns and association with bowel and sexual dysfunction is highly variable. This may suggest heterogeneity in aetiology and/or cross-sectional sampling of patients at different timelines on the natural history.

Keywords

• Young male BOO
• Urodynamics
• Dysfunctional voiding
• Erectile dysfunction
• Male bowel Dysfunction