24. Urine flow rate curves: Note how the pattern of the curve is a useful adjunct to making a diagnosis. (a) Normal flow rate, (b) high-pressure low flow rate caused by bladder neck obstuction, (c) urethral stricture, (d,e) low-pressure low flow rates differing patterns, (f) straining to void. W, voided volume) URINARY FLOW RATE CURVES Normal and abnormal flow traces
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28. URODYNAMIC STUDIES Poor compliance during later part of filling Phasic detrusor unstability during filling Urodynamic studies: Schematic representation of (left top) moderately poor compliance during the latter stages of filling and (left bottom) phasic detrusor instability during filling. In both cases high-pressure low-flow voiding also occurs, which indicates bladder outflow obstruction
29. Low – pressure low-flow voiding caused by a poorly contracting detrusor. P abd abdominal pressure, P det detrusor pressure, P ves intravesical pressure, RU, residual urine; W, voided volume