ABSTRACT
To investigate the relationship between clinical symptoms, severity of incontinence, and urodynamic findings in females suffering from mixed, urge and stress incontinence. One hundred and seventy three patients suffering from either urgency, urge incontinence, mixed or stress incontinence of those who were submitted to the urodynamic units in Aleppo University Hospitals between 1 January 2008 and 30 September 2009 were included in the study. Cystometric bladder capacity at maximal and first desire to void and bladder compliance, presence of overactivity or hypersensitivity, stress test according to the criteria of the International Continence Society were evaluated. The urodynamic study had a low sensitivity [54.5%,] and a high specificity [97.7%] in detecting genuine stress incontinence in women suffering from pure stress or mixed incontinence, and this sensitivity rose up to [87.5%] in women suffering from pure stress or stress-predominant mixed urinary incontinence. According to the parameters used in the study to put a diagnosis of urge incontinence on urodynamic study, the urodynamic study had a sensitivity of [87.7%] and a specificity of [90%] in detecting urge incontinence in women suffering from urinary pure urge or mixed incontinence. Some factors were statistically more common in the group of patients who had severe incontinence, and those factors were; old age, menopause, presence of urge incontinence in clinical history, presence of urge incontinence on urodynamic study, and presence of terminal overactivity on urodynamics. Subjective symptoms of urge and stress incontinence had good correlation with urodynamic findings in pure cases, and fair correlation in mixed cases. Severe incontinence correlated with a clinical history of urge and mixed incontinence