DOI: 10.36347/sjams.2018.v06i05.046

Pages: 2102-2107

Declining level of estrogen among the postmenopausal female patients leads to various urogynaecological problems. In this study we intend to compair the difference in the spectrum of urogynaecological problems among the surgical menopause and naturally occurring menopause. A total of 100 patients were studied (Group I: 50 naturally attained menopause patients and Group II: 50 patients with surgical menopause). After a detailed evaluation of their urogenital symptoms, all were subjected to urodynamic study (UDS) for confirmation of their lower urinary tract symptoms. The parameters were then statistically analyzed. Fifty patients in each of these groups were analyzed. The demographic profile was comparable in both the groups. Pruritus was most common genital symptom in Group I and vaginal discharge in Group II. Frequency was the most common lower urinary tract symptom (LUTS) in both the groups. On analyzing the LUTS, voiding symptoms were more common among both the groups, followed by storage symptoms and incontinence. Surgical menopause patients had more severe urodynamic features among those who presented with voiding symptoms. Of all the patients with storage symptoms, detrusor over activity was more common among the natural menopause group. Urinary incontinence incidence was similar in both the groups with urge incontinence was predominant in Group II and mixed incontinence in Group I. Except for some subtle differences, essentially the spectrum of urogenital problems is similar among both surgical and natural menopausal patients. Larger longitudinal studies are essential to validate these findings.