Purpose: We investigated the role of video-urodynamic (VUD) to identify detrusor sphincter dysynergia (DSD) and idiopathic external urethral sphincter hyperactivity (SH) in women suffering urgency. Material and Methods: Between July 2013 and May 2015, 82 women who underwent VUD studies due to urgency were analyzed. Women were evaluated carefully by complete history, physical investigation, urosonography, voiding diary, and video-urodynamic investigation. Results: Using VUD, we found DSD or SH in 40 of 83(48%) women. Median age of women was 54 ± 18 (range: 22-84). DSD and SH were found in 31 of 40 (78%) and 9 of 40 (22%) women respectively. 19 of 40 (48%) women had urge incontinence with median pad usage of 4 ± 2 (range: 1-10) daily. 20 of 40 (50%) women suffered from recurrent urinary infections.