Bladder

Low Pressure Urethra

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Low Pressure Urethra

  • Mechanism
  1. Low Pressure Urethra (Type 3)
  2. Loss of Urethral tone (<60 cm H20)
    1. Denervating Traumatic Injury
    2. Surgery
    3. Hysterectomy
    4. Prior Bladder neck suspension
  • Signs and Symptoms
  1. May have positive Bladder Stress Test
  2. Usually no urthrocele
  3. No sensation of urine loss
  • Diagnostics
  1. Requires formal urodynamic testing to confirm
  • Management
  1. Medications: Alpha adrenergics
  2. Surgical: Collagen injection