The exception to this is in a patient who has an elevated postvoid residual
or someone with a prior anti-incontinence procedure without symptoms of stress urinary incontinence.
Traditionally, using antimuscarinics in elder men with BPH, especially in patients with larger prostate volume, has been avoided because of concerns about aggravating dysuria, increasing postvoid residual
volume (PVR), and precipitating acute urinary retention (AUR).
I perform urodynamics regularly in my practice; it just is not necessary before surgery in a woman without prolapse and without previous incontinence surgeries who demonstrates her SUI and has a normal urinalysis and normal postvoid residual
Routine base line investigations urine analysis urine culture urodynamics and ultrasound for postvoid residual
volume were also performed.
A bladder ultrasound to check bladder capacity and postvoid residual
may be needed in a few cases, but history or a diary will usually suffice.
A postvoid residual
should be checked in a man who is being considered for antimuscarinic therapy.
The postvoid residual
urine volume was evaluated in all patients in a urodynamic investigation.
max]), and subsequently, their postvoid residual
urine was determined.
Use two consecutive measurements with a voided volume of at least 150 ml and combine with ultrasound to assess postvoid residual
Compared with the control group, the active-treatment group had a significant improvement in the International Prostate Symptom Score and quality-of-life score, a significant increase in urinary flow rate, a significant decrease in postvoid residual
volume, and a significant decrease in total PSA level.
Symptoms such as urgency, hesitancy, double voiding, increased frequency, a feeling of incomplete emptying, and postvoid residual
urine of more than 100 mL are suggestive of failure-to-empty syndrome.
new inability to stand up from sitting position or walk a flight of stairs) * Postural hypotension * Urinary retention (diagnose with a postvoid residual
test) Diagnostics test findings * Normal cerebrospinal fluid values * Specific electromyography findings, including * Normal motor conduction velocities * Normal sensory nerve amplitudes and latencies * Decreased evoked muscle action potential * Facilitation after rapid repetitive nerve stimulation * Standard mouse bioassay positive for toxin from clinical specimens and/or suspected food; requires up to 4 days for final results