Overactive Bladder
Drug name Dosage range Oxybutynin 2.5–5 mg IR daily thrice daily 5 or 10 or 15 mg ER daily Tolterodine 4 mg ER daily Solifenacin 5 or 10 mg daily…
Evaluation of Urinary Incontinence
Medication Effect Alpha agonist Urinary retention Alpha blockers Urinary leak Alcohol Frequency, polyuria Anticholinergics Urinary retention/functional incontinence Caffeine Frequency, urgency, polyuria Calcium channel blockers Urinary retention, nocturnal diuresis Diuretics Frequency,…
Neurogenic Bladder
Etiology of neurogenic bladder Brain and spinal cord related: Cerebral palsy Parkinson’s disease Multiple sclerosis, amyotrophic lateral sclerosis Encephalitis Stroke Congenital defects of spinal cord Brain or spinal cord tumors…
Management of Sling Surgery Complications
The next group with urinary retention can empty their bladder but can have varying degrees of voiding problems (hesitancy, straining to void, weak urinary stream, sensation of incomplete emptying) or…
Pressure Flow Study
Term Definition Maximum flow rate (Qmax) The maximum measured value of the flow rate Maximum pressure (pabd.max, pves.max, pdet.max) The maximum value of the pressure measured during a pressure-flow study…
Urodynamics in Children
Fig. 1 Room set-up. Toddler is relaxed in supine position while watching a video. Catheters are in place. Fluoroscopy unit is in position An experienced team of professionals who are…
Basic Science Behind Practical/Clinical Urodynamic Analysis
Fig. 1 Highly stylized diagram of the vesicourethral muscularis and rhabdosphincter to illustrate the muscle layers (components not drawn to scale, outer longitudinal layer not included) The Neural Control of…
Use of Fluoroscopy
Radiographic study Typical radiation dose in millisieverts (mSv) Chest X-ray 0.02–0.04 KUB 0.08 Fluoroscopy during VUDS 0.34 CT abdomen/pelvis 10–30 CT urogram 40 Advantages of Fluoroscopy Multi-channel urodynamics without fluoroscopy…
