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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 Uordynamics Coordinator Centro Médico Teknon Barcelona. 22 year old woman. Increased daytime voiding frequency: 1h Nocturia: no. Sensation of incomplete emptying.

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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 Uordynamics Coordinator Centro Médico Teknon Barcelona

  2. 22 year old woman. Increased daytime voiding frequency: 1h Nocturia: no. Sensation of incomplete emptying. No urinary tract infections. No gynecological and obstetric history. Osteopenia in treatment. Detailed clinical hystory

  3. Tracing Urodynamic test: Uroflowmetry Voided volume. 288 ml Qmax. 25.1 ml/s Post voided residual. 36 ml Vol Qura

  4. Tracing Urodynamic test:Cystometry Pabd Pves Pdet

  5. Infused Vol P ves P det First desire 146 ml 25 cmH2O 2 cmH2O Cysto Cap. 235 ml 52 cmH2O 66 cmH2O Urodynamic test:Cystometry

  6. Comment: Low bladder capacity. Diminished compliance. No leakage. No involuntary detrusor contractions detected. Filling phase dysfunction. Urodynamic test:Cystometry

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

  8. Voiding phase results Qmax 14.1 ml/s Pdet at Qmax 54 cmH2O Voided volume 235 ml Post voided volume 0 ml Urodynamic test:Pressure/Flow Study

  9. Comment Qmax in the limit (14.1 ml/s). Post voided residual: 0 ml. Micturition by detrusor contraction. Urodynamic test:Pressure/Flow Study

  10. Tracing Urodynamic test:Cystometry Pabd Pves Pdet

  11. Infused Vol P ves P det First desire 104 ml 8 cmH2O 5 cmH2O Cysto Cap. 304 ml 5 cmH2O 4 cmH2O Urodynamic test:Cystometry

  12. Tracing Urodynamic test:Pressure/Flow Study Pabd Pves Pdet Vol Qura

  13. Voiding phase results Qmax 14.6 ml/s Pdet at Qmax -9 cmH2O Voided volume 304 ml Post voided residual 0 ml Urodynamic test:Pressure/Flow Study

  14. Filling phase: Bladder with low capacity and normal compliance. Voiding phase: No obstruction. Detrusor contractile. Anticholinergic treatment for symptoms. Rule out organic causes (TBC; cis) with a cystoscopy. Diagnostic approach

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