Patientswith Lower Urinary Tract Symptoms (LUTS), including urinary incontinence and Overactive Bladder Syndrome (OAB) constitute a considerable part of urology patients. The prevalence of storage LUTS (men, 51%; women, 59%) was greater than that for voiding (men, 26%; women, 20%). The prevalence of OAB was 12% which was more prevalent than all types of urinary incontinence combined (9%). Also, OAB affects approximately 15% of urgency women and prevalence rates are higher in women than men.
Thecause of the urinary dysfunction is usually multifactorial. Although urinary dysfunction may entirely be non-neurogenic, it may also present with an overt or occult neurogenic abnormality underneath. Many clinically relevant methods have been put forward to allow an early diagnosis and identification of urinary dysfunction. A detailed patient's history, physical examination, and the determination of underlying pathophysiology are considered essential components of the initial evaluation of urinary dysfunction.