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costly than conservative and maximal medical treatment
- and should remain 2nd line treatment for patients failing
these treatments.
P5-5 The urological assessment of patients
with postural orthostatic tachycardia
syndrome
Martyn-Hemphill C1, Feuer J1, Taylor C1
1Kings College Hospital, London, United Kingdom

Introduction:
Postural
Orthostatic Tachycardia
Syndrome (POTS) is a heterogeneous form of autonomic
dysfunction, arising in predominantly premenopausal
women. It is characterised by an increase in heart rate
(t30bpm) on standing, with light-headedness and associated features of sympathetic activation. Few studies have
evaluated the urological manifestations of this condition,
which commonly arise prior to diagnosis.
Patients and Methods: We performed a retrospective
analysis of POTS patients with lower urinary tract symptoms (LUTS) referred to our tertiary centre between
November 2013 and November 2017. Patients were seen
in a dedicated neuro-urology setting for clinical and urodynamic assessment.
Results: 68 POTS patients with a mean age of 28.3 (range:
16-62) were referred to the neurourology clinic over four
years. There were three male patients within this cohort.
Reduced sensation, urgency, incomplete emptying and

P5-6: Figure 1. - Single / First Presentation

Journal of Clinical Urology 11(1S)
nocturia were the commonest reported LUTS. 71%
(n=48) of patients had an established diagnosis of hypermobility syndrome. Almost half of all patients (n=31) had a
history of recurrent UTIs prior to presentation. In those
patients that underwent videourodynamic assessment
(n=26) the predominant findings were: large capacity,
insensate bladders with incomplete emptying and straining
pattern voids. Mean first sensation was 315ml (range: 113800ml). There was no loss of compliance, reflux, or detrusor overactivity within this cohort.
Conclusion: POTS patients are complex and require an
interdisciplinary approach to management in a dedicated
clinic. Early recognition of urological manifestations is key.
Patients should instigate timed/double voiding with an
awareness of the potential need for self-catheterisation to
optimise bladder efficiency and prevent recurrent infection
P5-6 Time to re-think urinary retention in
women?
Harbias A1, Olateju A1, Montague R1, Gunendran T1
Foundation Trust - University Hospital South
Manchester, United Kingdom
1Manchester

Introduction: Female urinary retention, particularly
recurring, is rare, with little standardisation into the investigation and management. Our aim was to identify common causes of retention and the best way to investigate /
manage these patients.



Table of Contents for the Digital Edition of JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018

Contents
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