Assessment of urinary symptoms in early pregnancy

Objectives— To determine the correlation between lower urinary tract symptoms and urodynamic findings in early pregnancy. Setting— The termination clinic and gynaecology ward at King's College Hospital. Design— Observational study. Subjects— 47 women before termination of pregnancy at between 6 and 15 weeks. Interventions— Women filled in symptom questionnaires and then had urodynamic investigations, consisting of uroflowmetry and subtracted provoked cystometry. Main outcome measures— The occurrence of lower urinary tract symptoms and their association with urodynamic findings. Results— Lower urinary tract symptoms were fairly common but there was poor correlation with the urodynamic findings. Conclusions— The findings suggest that lower urinary tract symptomatology alone is insufficient to study lower urinary tract dysfunction in pregnancy.