Correlation between metabolic syndrome and voiding dysfunction in females – A retrospective study

Aim: Voiding dysfunction is an under evaluated issue in females with metabolic syndrome. Aim of our study was to investigate correlation between voiding dysfunction in females with metabolic syndrome. Materials and Methods: The study was a retrospective study conducted from January 2015 to December 2016 in the Institute of urology, Madras medical college, Chennai. We investigated 80 female patients who visited the urology department for voiding dysfunction with features of metabolic syndrome. The data included were age, body mass index, diabetic status, blood pressure and lower urinary tract symptoms. Results: A total of 80 women were included as voiding dysfunction group with metabolic syndrome with mean age of 58.5 years (42 – 75years). 74 (92.5%) females had high blood sugar. Diastolic blood pressure was raised in 71 (88.75%) of patients. Obstructive voiding symptoms ware noted in 57 (71.25%) of patients and irritative voiding symptoms in 23(28.75%) of patients. Body mass index more than 25 was noted in 31(38.75%) of patients. Conclusion: Voiding dysfunction is a highly prevalent in females with metabolic syndrome. Diabetes and obesity cause voiding dysfunction through alterations in the phenotype of bladder. Chronic complications of diabetes especially neuropathy, nephropathy, and presence of metabolic syndrome are important predictors of bladder dysfunction.