UROLOGY

Bladder Pain Syndrome

Jul 5, 2017 by in UROLOGY Comments Off on Bladder Pain Syndrome

Inclusion criteria  1. Cystoscopy – glomerulations and/or classic Hunner’s ulcer  2. Symptoms – bladder pain and/or bladder urgency Exclusion criteria  1. Bladder capacity greater than 350 cc on awake cystometry…

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Management of Stress Urinary Incontinence

Jul 5, 2017 by in UROLOGY Comments Off on Management of Stress Urinary Incontinence

Fig. 7.1 The retropubic approach of mid-urethral sling, with needle passage from bottom-up (From: Noblett et al. [34]; with permission) Nilsson et al. reported that at 11-year follow-up, objective and…

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Overactive Bladder

Jul 5, 2017 by in UROLOGY Comments Off on 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…

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Evaluation of Urinary Incontinence

Jul 5, 2017 by in UROLOGY Comments Off on 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,…

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Neurogenic Bladder

Jul 5, 2017 by in UROLOGY Comments Off on 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…

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Management of Sling Surgery Complications

Jul 5, 2017 by in UROLOGY Comments Off on 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…

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Nomograms

Jul 5, 2017 by in UROLOGY Comments Off on Nomograms

Fig. 1 (a) Abrams-Griffiths nomogram. Plot uses detrusor pressure at maximum urinary flow and maximum urinary flow rate. Reproduced from Lim CS and Abrams P. The Abrams-Griffith nomogram. World J…

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Pressure Flow Study

Jul 5, 2017 by in UROLOGY Comments Off on 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…

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EMG

Jul 5, 2017 by in UROLOGY Comments Off on EMG

Fig. 1 Effects of sacral neuromodulation (SNM) on EMG tracing Physiologic artifact may also interfere with EMG tracings. The most common cause of artifact is the EMG signal generated from…

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Urodynamics in Children

Jul 5, 2017 by in UROLOGY Comments Off on 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…

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