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2nd Seminar Clinical cases in urodynamics. One morning with Paul Abrams

This seminar discusses a clinical case of primary enuresis in a 21-year-old male and the urodynamic test results. The patient shows symptoms of nighttime enuresis, daytime urinary frequency, incomplete emptying, and occasional urgency without leakage. The urodynamic test reveals low bladder compliance and normal bladder capacity, with no obstruction observed in the voiding phase. Anticholinergic treatment is recommended, and the patient has shown progress with Solifenacine. Next visit scheduled in 3 months.

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2nd Seminar Clinical cases in urodynamics. One morning with Paul Abrams

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  1. 2nd Seminar Clinical cases in urodynamics. One morning with Paul Abrams presented by: Dr. Jose Emilio Batista Centro Médico Teknon Barcelona, Spain

  2. 21 year old male. Primary enuresis if he doesn’t wake up during the night. Daytime urinary frequency: 3 hours or less. Nocturia: 0. Feeling of incomplete emptying. Occasional urgency without leakage. Father was enuretic. Detailed clinical hystory

  3. Tracing Urodynamic test:Uroflowmetry Voided volume. 296 ml Qmax. 29.7ml/s Post voided residual. 0 ml Vol Qura

  4. Tracing Urodynamics: Cystometry Pabd Pves Pdet

  5. InfVol P ves P det Firstdesire 140 ml 41 cmH2O 5 cmH2O Mac Cys cap. 495 ml 89 cmH2O 49 cmH2O Compliance: 10 ml/ cm H20 Urodynamics: Cystometry

  6. Comment: Normal bladder capacity. Low compliance. No leakage with increased abdominal pressure. Progressive increase of Pdet. Filling phase dysfunction. Urodynamics: Cystometry

  7. Tracing Urodynamic test: Pressure/Flow Study Pabd Pves Pdet Vol Qmax

  8. P/Q Plot

  9. Voiding phase results Qmax 38.8 ml/s Pdet at Qmax 41 cmH2O Voided volume 495 ml Post voided residual 0 ml Urodynamic test: Pressure/Flow Study

  10. Comment Normal Qmax (38.8 ml/s). Post voided residual: 0 ml. Micturition by detrusor contraction. Urodynamic test: Pressure/Flow Study

  11. Radiography: No rachischisis Abdominal ultrasound: Normal Urinalysis: Uric acid crystals Complementary Tests

  12. Filling phase: Severe low compliance with normal capacity. Voiding phase: No obstruction. Contractile detrusor. Anticholinergic treatment is indicated. Therapeutic approach

  13. Progress: 10mg Solifenacine at night At the beginning he had various leakage episodes. Now, the last 15 days he was dry at night. Next visit in 3 months. Patient progress

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