Urodynamic Characteristics of chronic lower urinary tract symptoms in Women with hypothyroidism

hypothyroidism, neuropathy and myopathy caused by it can have a significant impact on the performance of the lower urinary tract because the bladder muscle activity and proper function of sphincters are strongly controlled by autonomic and somatic reflexes, and are vulnerable to any kind of neuropathy. It is important that despite the high prevalence of hypothyroidism in reports limited extent (Case report) urodynamic pattern in these patients are available. Between April 2010 and April 2013, from among all female patients who visited the urology clinics of Alzahra and Noor Hospitals, 1058 of the patients had complains of chronic urinary symptoms. Approximately 68 of patients had hypothyroidism and urodynamic test was performed for 43 patients whose results were analyzed. Reduced urination rate (Qmax) was observed in 37.2% of patients. In 21.3% of patients, bladder outlet obstruction was existed. Bladder sensory impairment was observed in 33.3% of patients. 37.2% of patients were with residual urine (PVR) higher than normal. The most common disorders of unloading phase (voiding phase) were reduced power of drain, increase remained of the urine (PVR) and bladder outlet obstruction (BOO). The most common problems of filling phase were reduced bladder sensation (hyposensitivity) and OAB.