For both treatment and research it is useful to classify detrusor hype
rreflexia/instability according to degree of severity, because it rela
tes to symptomatic impact. However, there has been no systematic evalu
ation of criteria for severity assignment. This report compares patien
t classification by urodynamic data according to 3 methods: arbitrary
criteria, a severity index, and an empirical cluster analysis. Within
the primary urodynamic data there were no natural groupings as a basis
for division into discrete patient groups. By all three methods, howe
ver, severity level did relate to symptoms. (C) 1994 Wiley-Liss, Inc.