Q: Analyse this urodynamic study A: I can give a structured interpretation from the values visible in your photos. Key findings from this pressure-flow study 1 Filling phase - Infused volume / bladder filling: 275 mL - Total bladder capacity reported: 293 mL - Sensations: - First sensation: 84 mL - First desire: 128 mL - Normal desire: 206 mL - Strong desire: 242 mL - Urgency: 274 mL - MCC: 275 mL - Detrusor pressure during filling Pdet: low/stable 3-5 cmH2O at markers - Compliance: report shows 37 mL/cmH2O good; not a poorly compliant bladder - Leakage during filling: not documented appears none Interpretation of filling phase: - Bladder stores urine with good compliance, no obvious detrusor overactivity on the shown traces, and capacity is somewhat reduced/borderline low 275-293 mL. 2 Voiding phase - Qmax: 0.3 mL/s extremely low - Voided volume: 0 mL - Average flow: 0.0 mL/s - Computed residual urine: 293 mL essentially full retention - Pdet at Qmax: 3 cmH2O very low detrusor contraction during attempted void - ICS nomogram panel labels point near zero-flow/low-pressure region printed text suggests “Unobstructed” Interpretation of voiding phase: - This trace is most consistent with voiding failure due to detrusor underactivity/acontractile bladder poor bladder muscle contraction, not classic high-pressure outlet obstruction on this specific run. - Because voided volume is zero, pressure-flow classification is limited; still, low pressure + no flow strongly suggests underactive detrusor. Overall impression Most likely pattern: 1. Storage phase mostly preserved good compliance, no clear overactivity, with modestly reduced functional capacity. 2. Severe emptying dysfunction with urinary retention PVR 293 mL and near-absent detrusor contractility during void attempt. Clinical correlation / what to discuss with your urologist - Correlate with symptoms: weak stream, hesitancy, straining, incomplete emptying, recurrent UTI, overflow symptoms. - Check contributors: enlarged prostate, diabetes, neuropathy, spinal disease, medications anticholinergics, opioids, etc, prior pelvic surgery. - Typical next-step management discussions may include: - Repeat uroflow/PVR and clinical exam - Cystoscopy or prostate/outlet assessment if indicated - Catheter strategy intermittent self-catheterization is often preferred if chronic retention - Medication plan tailored to whether outlet component exists - Renal function and upper tract surveillance in persistent high residuals Important caveat This is an image-based read of printed numbers, not the raw urodynamics file. Final diagnosis should come from your treating urologist, who can confirm trace quality/artifacts and clinical context. If you want, I can also convert this into a one-page “clinic summary” you can take to your doctor.
