@Article{,
AUTHOR = {Asha E. Jamzadeh, Donghua Xie, Melissa A. Laudano, 
Dean S. Elterman, Stephan Seklehner, Lucien Shtromvaser, 
Richard Lee, Steven A. Kaplan, Alexis E. Te, 
Renuka Tyagi, Bilal Chughtai},
TITLE = {Urodynamic characterization of lower urinary tract symptoms in women less than 40 years of age},
JOURNAL = {Canadian Journal of Urology},
VOLUME = {21},
YEAR = {2014},
NUMBER = {5},
PAGES = {7460--7464},
URL = {http://www.techscience.com/CJU/v21n5/61389},
ISSN = {1488-5581},
ABSTRACT = {<b>Introduction:</b> Lower urinary tract symptoms (LUTS) 
in young women is becoming a more recognized urologic 
issue that can arise from many causes, each with their 
own management strategy. The purpose of this study 
was to determine the rates of various etiologies for LUTS 
in women under 40 years of age.<br/>
<b>Materials and methods:</b> Video urodynamic studies 
(VUDS) were performed in 70 women age 40 years or 
less with LUTS for greater than 6 months between March 
2005 and June 2012 at Weill Cornell Medical College. 
Patients with culture-proven bacterial urinary tract 
infections, pelvic organ prolapse greater than grade I, 
symptoms for less than 6 months, a history of neurologic 
disease, or previous urological surgery affecting voiding 
function, were excluded from the analysis.<br/>
<b>Results: </b>The mean age of the patients was 31.95 ± 5.57. 
There were 48 patients that presented with more than 
one urinary symptom (68.57%). The most frequent 
complaints included: urinary frequency (n = 42, 34.15%), 
incontinence (n = 26, 21.14%), and urinary urgency 
(n = 22, 17.89%). The most common urodynamic 
abnormality was dysfunctional voiding (n = 25, 28.74%), 
detrusor overactivity (n = 15, 20.00%), bladder outlet 
obstruction (n = 8, 11.43%). There were no significant 
differences seen in complaints or AUA symptom and 
quality of life scores across diagnosis groups. <br/>
<b>Conclusions:</b> Persistent LUTS can present in younger 
women with an unclear etiology, which may be 
characterized using VUDS. The most common etiology 
found is dysfunctional voiding followed by detrusor 
overactivity. This study shows that the etiology can be 
more accurately determined using VUDs, which can 
assist in management.},
DOI = {}
}