and Apichana Kovindha2
(1)
University of Antwerp, Antwerp, Belgium
(2)
Rehabilitation Medicine, Chiang Mai University, Chiang Mai, Thailand
Several types of intravesical pressure development can be seen during filling UDT. The vesical pressure (Pves) tracings from a one channel cystometry are similar with the detrusor pressure (Pdet) tracings if correctly measured with a multi-channel UDT.
16.1 Three Types of Vesical Pressure Tracings from a One Channel Cystometry
Following are three examples from a one channel cystometry (Figs. 16.1, 16.2, and 16.3).
Fig. 16.1
Example of a volume-pressure tracing obtained from a one channel cystometry of a 22-year-old man with paraplegia T7, AIS A, 6 weeks after injury. It shows NDO, with high pressure (90 cm H2O) leakage at volume of 120 ml (Wyndaele JJ, et al. Spinal Cord. 2009;47:526–30, with permission) [7]
Fig. 16.2
Cystometry of a 32-year-old man with paraplegia T5, AIS-B, 6 months after SCI. Treatment with indwelling catheter for 6 months. Low bladder compliance is seen with high pressure development at low volume. The start pressure is 10 cm H2O. The filling is stopped after pressure slowly rose and desire to void developed. Gradually the pressure has come down to 38 cm H2O after stopping the inflow without leakage, indicating that the pressure rise is mainly due to loss of extensibility of the bladder wall = low compliance. Calculated compliance on this tracing from start to stop = 180 ml/28 cm H2O = 6.2 ml/cm H20. (Wyndaele JJ, et al. Spinal Cord. 2009;47:526–30, with permission) [7]
Fig. 16.3
Cystometry of a 57-year-old woman with paraplegia L1, AIS-A, 3 months after SCI. Leakage despite self-catheterization. The start pressure is 10 cm H2O. Stress urinary incontinence demonstrated without bladder contraction. Cough leak point pressure 80–10 = 70 cm H2O. From start to stop no pressure difference is seen, indicating a high compliance. (Wyndaele JJ, et al. Spinal Cord. 2009;47:526–30, with permission) [7]