Table 1.
Urological assessment in 22 consecutive patients with confirmed Congenital Zika Syndrome.
Fig 1.
Urodynamic studies found on CZS patients.
Urodynamic studies showing three different scenarios of overactive bladder found on CZS patients, all with high-risk urodynamic indicators known to cause progressive urinary system damage. A (case 1): Bladder behavior is normal at the beginning but a series of uninhibited detrusor contractions raises the bladder pressure during 2/3 of the filing phase. B (case 2): A very high and sustained inhibited detrusor contraction and a concomitant increased sphincter activity (detrusor-sphincter dyssynergia) raises the intravesical pressure up to 100 cm H20. The leak point pressure is equally dangerously high (110 cm H20). C (case 3): The repeated inhibited detrusor contractions starting at the very beginning of the filing phase, always followed by leak, severely reduces the bladder capacity.
Table 2.
Urodynamic parameters measured in 22 consecutive patients with Congenital Zika Syndrome and microcephaly.
Table 3.
Post-void residual measured during urodynamic study in 22 consecutive patients with Congenital Zika Syndrome and microcephaly.