Published Paper Details:

Background: Micturition disorder is one of the most common problems in urology. Due to the variability of the causes, the diagnosis might be difficult. Urodynamics examination remains the gold standard for examining the pathophysiology of dysfunction in the urinary tract, such as urinary incontinence (UI) or lower urinary tract symptoms (LUTS). This procedure allows to describe the pathology in filling phase and the voiding phase. Objective: To describe urodynamics profile of male patients with urinary symptoms in Soetomo General Hospital in the year 2017-2019 Methods: This research was a retrospective descriptive study. The data was collected from electronical medical records from all male patients with urinary symptoms that undergo urodynamic evaluation at Soetomo General Hospital from January 2017 to December 2019. The data is presented descriptively in table and narrative form. Results: There was a total of 80 patients included in this study. The majority of the patient was classified as elderly patients (>60 y.o.), with a total of 26 patients (32%). The most commonly reported symptom was urine retention in 23 patients (26.74%). Most of the patients had a Q-max result <10 mL/second (76.25%), PVR <150 mL (62.5%), and a post-urodynamic diagnosis of detrusor underactivity (DU). Half of the patients have a comorbid disease, with spinal dysfunction being the most commonly reported comorbidity in the patients (12.5%). All the patients undergo treatment for their symptoms. 75% of the patients were taking pharmacological treatments, while 25% of them underwent surgical procedures. Conclusion: Patients with urinary symptoms that underwent urodynamic evaluation most commonly reported a symptom of urinary retention. The urodynamic evaluation revealed that DU is the most commonly reported post-urodynamic diagnosis. Furthermore, urodynamic studies may differentiate patient needs for pharmacological treatment and undergone surgical procedures.