Urodynamics

Postvoid residual of 40 mL. Multichannel cystometrogram to capacity of 403 mL revealed uninhibited detrusor contractions resulting in a large amount of urine loss beginning at about 350 mL. No stress incontinence was noted. Urethral pressures were high-normal at 195 cm H2O. Leak-point pressure testing revealed no leakage up to a maximal Valsalva effort of 166 cm H2O at capacity. Cough profile was negative and on uroflowmetry she had a peak flow of 14.7mL per second. Q-tip angle was positive between 35 to 50 degrees. Results indicated detrusor instability without any stress incontinence.

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