tfrick2
Networker
I haven't had a lot of experience with Urology, so I'm just not 100% sure of how to code this one. Any help would be greatly appreciated!
Cystometry
Position: Sitting
Filling Rate 50ml/min
Volume of First Sensation 169ml
Volume of First Desire to Void 220ml
Volume of Strong Desire to Void 300ml
Maximum Capacity 300ml
Compliance: normal
Involuntary Detrusor Contraction: Yes
Volume of Involuntary Detrusor Contraction: 300 ml.
Urge incontinence: Yes
Stress test: not done
Comments: The patient has normal bladder capacity. Moderate neurogenic detrusor overactivity noted throughout filling and at 300cc, patient was noted to have urge incontinence.
Pressure - Flow Voiding Studies
Position Standing
Flow Pattern Intermittent
Volume Voided: 250 ml.
Post-void residual volume: 30 ml.
Detrusor Contraction Yes
Pdet Qmax: 20 cmH2O
Pelvic Floor Relaxation Yes
Abdominal Straining: Yes
Comments: The patient leaked aobut 20cc, and was able to vid 150cc with a PVR of 30cc. No clear obstruction noted.
Fluoroscopy
Comments: The patient has as slighlty trabeculated bladder without vesicoureteral reflux. Urge incontinence noted.
Cystometry
Position: Sitting
Filling Rate 50ml/min
Volume of First Sensation 169ml
Volume of First Desire to Void 220ml
Volume of Strong Desire to Void 300ml
Maximum Capacity 300ml
Compliance: normal
Involuntary Detrusor Contraction: Yes
Volume of Involuntary Detrusor Contraction: 300 ml.
Urge incontinence: Yes
Stress test: not done
Comments: The patient has normal bladder capacity. Moderate neurogenic detrusor overactivity noted throughout filling and at 300cc, patient was noted to have urge incontinence.
Pressure - Flow Voiding Studies
Position Standing
Flow Pattern Intermittent
Volume Voided: 250 ml.
Post-void residual volume: 30 ml.
Detrusor Contraction Yes
Pdet Qmax: 20 cmH2O
Pelvic Floor Relaxation Yes
Abdominal Straining: Yes
Comments: The patient leaked aobut 20cc, and was able to vid 150cc with a PVR of 30cc. No clear obstruction noted.
Fluoroscopy
Comments: The patient has as slighlty trabeculated bladder without vesicoureteral reflux. Urge incontinence noted.