Neurogenic detrusor overactivity

Cystometry Neurogenic detrusor overactivity is overactivity in the presence of confirmed neuropathy in this case Multiple Sclerosis. Often the detrusor is unstable without sensation and the pressure involved tend to be higher than idiopathic instability

The Urethral pressure for the same patient. Normal appearance

The voiding study for the same patient. High detrusor pressure and interrupted. Can not diagnose dyssynergia without emg or radiology but this trace is suggestive of dyssynergic voiding

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