Urodynamics

1. Postvoid residual was 75mL and a negative urinaly-sis (Figure 6-11.2).

2. Cystometrogram: Capacity of 479 mL. First sensation at 83 mL and first desire at 98 mL. She did not experience any urgency throughout the cystometro-gram. No uninhibited detrusor contractions. She did demonstrate leakage with cough, prompt urinary loss at capacity.

3. Urethral pressure profiles: Functional urethral length was 3.1cm. Maximal urethral closing pressure was 79 cm H2O at capacity.

4. Leak point pressure testing: There was no leakage at 150 mL with a pressure of 83 cm H2O. There was also no leakage at capacity to 86 cm H2O pressure.

5. Uroflowmetry: The patient had an interrupted pattern voiding 700 mL over 106 seconds giving a mean flow of 10.8mL/s with a peak flow of 19.4mL/s. The configuration was interrupted with a Valsalva pattern.

6. Cough pressure profile: Positive with equalization (Figure 6-11.2).

7. Q-tip angle was positive with a resting angle of 35 to 80 degrees with Valsalva.

8. Electromyography was appropriate.

Figure 6-11.1. Endoanal ultrasounds.
Figure 6-11.2. Urodynamics.
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Constipation Prescription

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