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detrusor sphincter dyssynergia
by amaranta68, Oct 27, 2009 01:17PM
Hello, i just need a second opinion about my urodynamic test results.
Uroflowmetry shows obstructive pattern and incomplete bladder emptying.
cystometry : the urethra function during filling was normal, and the compliance was high (82,20cc/cm.
Pressure uroflowmetry: the detrusor activity during emptying sowed to be hypoactive and high pressure. and the urethra activity was abnormal ( detrusor-sphincter dyssynergia).
EMG showed normal sphincter electrical activity and detrusor-sphincter dyssynergia.
After seeing this results my urologist said all these was due to my urethra being too small ( despite saying it was fine in previous consult) and proceeded to make an urethral dilatation, he also prescribe doxazin and mestinon.
I have been reading that detrusor-sphincter dyssynergia is often the first sign of some neurological problems, my doctor never mentioned this. should i have been referred to a neurologist?
Uroflowmetry shows obstructive pattern and incomplete bladder emptying.
cystometry : the urethra function during filling was normal, and the compliance was high (82,20cc/cm.
Pressure uroflowmetry: the detrusor activity during emptying sowed to be hypoactive and high pressure. and the urethra activity was abnormal ( detrusor-sphincter dyssynergia).
EMG showed normal sphincter electrical activity and detrusor-sphincter dyssynergia.
After seeing this results my urologist said all these was due to my urethra being too small ( despite saying it was fine in previous consult) and proceeded to make an urethral dilatation, he also prescribe doxazin and mestinon.
I have been reading that detrusor-sphincter dyssynergia is often the first sign of some neurological problems, my doctor never mentioned this. should i have been referred to a neurologist?
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After a urodynamics test in 1996, I was diagnosed as having a neurogenic bladder. This means that I have no control to relax the sphincter to control the flow of urine. I now use intermittant catherization for this.
In 1998 I was found to have a heriditary neuropathy.
It is quite possible that you might have a neurological problem and it would not hurt to question your doctor about this.
All the best,
Ron