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2nd Seminar Clinical cases in urodynamics. One morning with Paul Abrams

2nd Seminar Clinical cases in urodynamics. One morning with Paul Abrams. Presented by: Dr. Jose Emilio Batista Centro Médico Teknon Barcelona, Spain. 65 years old male. 2 prostatitis, last one in january 2012. Daytime urinary frequency : 2-3hours Nocturia: 0-1(before january 2-3 times)

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2nd Seminar Clinical cases in urodynamics. One morning with Paul Abrams

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  1. 2nd Seminar Clinical cases in urodynamics. One morning with Paul Abrams Presented by: Dr. Jose Emilio Batista Centro Médico Teknon Barcelona, Spain

  2. 65 years old male. 2 prostatitis, last one in january 2012. Daytime urinary frequency : 2-3hours Nocturia: 0-1(before january 2-3 times) Incomplete emptying feeling. Urgency without incontinence. No pharmacological treatment. Detailed clinical hystory

  3. Tracing Urodynamic test:Uroflowmetry Voided volume. 237 ml Qmax. 14.9ml/s Postvoided residual. 114 ml Vol Qura

  4. Tracing Urodynamics: Cystometry Pabd Pves Pdet

  5. Infused Vol P ves P det First desire 210 ml 50 cmH2O 5 cmH2O Cysto cap. 440 ml 91 cmH2O 37 cmH2O Urodynamics: Cystometry

  6. Comment: Normal bladder capacity. Diminished compliance. No leakage with increased abdominal pressure. Un-inhibited detrusor contractions. Filling phase dysfunction. Urodynamics: Cystometry

  7. Tracing Urodynamic test: Pressure/Flow Study Pabd Pves Pdet Vol Qmax

  8. P/Q Plot

  9. Voiding phase results Qmax 16.1 ml/s Pdet at Qmax 71 cmH2O Voided Volume 467 ml Post Voided Residual 0 ml Urodynamic test: Pressure/Flow Study

  10. Comment Normal Qmax (16 ml/s). Post voided volume: 0 ml. Voiding by detrusor contraction. Use of abdominal straining Urodynamic test:Pressure/Flow Study

  11. Tracing Urodynamic test: Pressure/Flow Study Pabd Pves Pdet Vol Qmax

  12. Filling phase: Overactive detrusor. Voiding phase: Limit values of ​​obstruction, coexisting obstruction and no obstruction parameters. Anticholinergic and alpha-blocker treatment is inidicated. Urodynamic test is recommended to repeat in two months with the medication. Therapeutic approach

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