Diagnosis of detrusor instability and detrusor hyperr eflexia by urodynamic studies

ABSTRACT

Urodynamic testing is relatively a newer field of urology but an important tool for reaching definitive diagnosis. Two such cases referred to urodynamic laboratory of Armed Forces Institute of Urology are described here. An elderly man with clinical diagnosis of bladder outlet obstruction found to be suffering from bladder instability in addition on the basis of Water/voiding cystometry. The second case a young paraplegic whose upper urinary tracts were at risk despite treatment advised by neurosurgeon, was diagnosed to be suffering from detrusor hyperreflexia with DESD. Treatment of both the patients was directed appropriately on the basis of urodynamic testing which otherwise would not have been possible by any other modality. These cases are the first to be reported from any army urology department and underscores its importance