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.
Herbal Remedies For Acid Reflux

Herbal Remedies For Acid Reflux

Gastroesophageal reflux disease is the medical term for what we know as acid reflux. Acid reflux occurs when the stomach releases its liquid back into the esophagus, causing inflammation and damage to the esophageal lining. The regurgitated acid most often consists of a few compoundsbr acid, bile, and pepsin.

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