Changes

[[File:SmAn Ab and Met 02.jpg|centre|500px]]

[[File:SmAn Ab and Met 02.jpg|centre|500px]]

*Ultrasound examination of the bladder after residual air and contrast has been removed and the bladder moderately filled with sterile saline. This allows identification of ureterovesical junctions and visualization of ureteral jets from ureters entering the trigone normally. Alternatively, direct visualization of ureteral emptying with fluoroscopy.

*Ultrasound examination of the bladder after residual air and contrast has been removed and the bladder moderately filled with sterile saline. This allows identification of ureterovesical junctions and visualization of ureteral jets from ureters entering the trigone normally. Alternatively, direct visualization of ureteral emptying with fluoroscopy.

*Urodynamic investigation. Stressed urethral pressure profilometry is a better predictor of continence than plain urethral pressure profilometry. Both techniques require expensive equipment and are dependent upon the technique used. Urethral pressure profilometry can provide additional useful information.

*Urodynamic investigation. Stressed urethral pressure profilometry is a better predictor of continence than plain urethral pressure profilometry. Both techniques require expensive equipment and are dependent upon the technique used. Urethral pressure profilometry can provide additional useful information.

|l1=

|l1=Urethral Sphincter Mechanism Incompetence

|q2=This radiograph was obtained. What is your main differential diagnosis?

|q2=This radiograph was obtained. What is your main differential diagnosis?

|a2=

|a2=

Other common causes of urinary incontinence were ruled out by the above investigation.

Other common causes of urinary incontinence were ruled out by the above investigation.

|l2=

|l2=Urethral Sphincter Mechanism Incompetence

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