Interpretation Of Basic And Advanced Urodynamics

This book provides a comprehensive, state-of-the-art review of this evaluation of voiding disorders and will serve as a valuable resource for clinicians and surgeons. The book reviews the basic indications for urodynamics as well as the interpretation of basic and advanced studies with the use of clinical vignettes. In addition to step-by-step description in text, the textbook provides illustrations/photographs and tracings of different urodynamics scenarios. This atlas of urodynamics will serve as an extremely useful resource for physicians dealing with and interested in the evaluation of pelvic floor disorders and voiding dysfunction. It will provide a concise and comprehensive review of all the different types of urodynamics scenarios, while instructing its readers on how to accurately and consistently interpret these studies. All chapters are written by experts in the fields of pelvic floor disorders and voiding dysfunction.

This pocket guide is an easy-to-use, practically oriented resource that provides reliable information and advice on the technical aspects of urodynamic techniques, the interpretation of tracings, quality control, and the most common pitfalls. Individual sections focus on uroflowmetry, multichannel urodynamics, interpretation of pressure/flow tracings, urethral function studies, pelvic floor electromyography, videourodynamics, and urodynamics of the upper urinary tract. Despite recent criticisms, there is general agreement that urodynamic investigation represents a necessary step before any surgical approach to incontinence and obstruction. Nevertheless, recently published guidelines fail to provide specific directions on performance and interpretation of urodynamics, and knowledge of the basic rules and formal urodynamics training are too often lacking. Readers will find that this guide enables them to retrieve key information quickly and to feel more confident in their practice of urodynamics.

This book is a comprehensive guide to lower urinary tract dysfunction that draws extensively on actual urodynamic traces and patient cases to ensure that the imparted knowledge will be readily transferable to clinical practice. The impressive collection of clinical cases is used to illustrate basic concepts of lower urinary tract function and to document urodynamic findings and typical patterns in a wide range of commonly encountered conditions. In addition, attention is drawn to frequent pitfalls and artifacts. Readers will be able to assess their skill in reaching the correct diagnostic conclusion in each case, as in addition to the urodynamic trace a full set of information is provided on aspects such as patient history, physical examination, voiding diary, laboratory examination, imaging studies, and cystourethroscopy, thereby directly simulating real-life clinical practice. The presented cases are drawn from the large clinical database that Professor Seung-June Oh has prospectively accumulated during the past 16 years of clinical practice. The book will be invaluable for residents and other practitioners and will also be of interest for medical students.

This volume provides practitioners with a practical, easy to read, well organized approach to the performance and analysis of urodynamics in order to optimize their usage clinically. Chapters are structured around specific types of patterns seen on urodynamic tracings. These urodynamic tracings are annotated and fully interpreted by the authors. Multiple examples of each type of tracing are provided with expert commentary. The expert commentary expands on the potential clinical significance of the tracing, provides a differential diagnosis, and, where appropriate, discusses its importance diagnostically, prognostically and the implications for clinical management. The text contains chapters on virtually all the relevant urodynamic findings and clinical conditions seen in practice, including lower urinary tract conditions in both adults and children, neurogenic and non-neurogenic dysfunction, and other commonly seen conditions such as lower urinary tract obstruction, vaginal prolapse, and detrusor overactivity. The material is also presented in a practical manner, with special consideration to the latest national and international guidelines. Written by authorities in the field, Rapid and Practical Interpretation of Urodynamics is a valuable resource that fills a key gap by providing a systematic method of interpretation of urodynamic tracings in an easy to understand textbook that will benefit urologic trainees and experienced urologists alike.

This text provides a comprehensive, state-of-the-art review of this field, and will serve as a valuable practical resource for clinicians with an interest in conducting urodynamics. The book reviews new data about the indications, conduct and interpretation of various aspects of urodynamic testing. With an emphasis on clinical urodynamics, it is arranged into sections that correspond with the basic elements of urodynamic testing; noninvasive urodynamics (uroflow and post void residual), cystometrogram, storage studies (leak point pressures, stability, compliance and capacity) and voiding phases (pressure flow study). Other testing modalities that are discussed include EMG testing, fluoroscopy, and provocative maneuvers. Practical Urodynamics for the Clinician will serve as a very useful and practical resource for physicians and researchers dealing with, and interested in, this complex physiologic testing tool. It will provide a concise yet comprehensive summary of the field that will help guide the selection of patients for the study, preparation of the patient, the conduct of the study and finally the interpretation of the urodynamics evaluation.

Abrams’ Urodynamics A complete guide to urodynamic investigation in modern health care Urodynamic testing is an ever-advancing field with applications in the management of patients from across a wide range of clinical areas. Bringing together fundamental principles and cutting-edge innovations, Abrams’ Urodynamics has been designed as an all-in-one guide to Functional Urology and Urogynecology, offering direct, up-to-date instruction on how to best perform and understand urodynamic tests within the overall treatment pathway. Its chapters cover everything from everyday basic practice to advanced complex cases, and are enhanced with more than 450 helpful illustrations. Including numerous revisions and new features, this fourth edition of the book boasts: Coverage of all investigative approaches, including uroflowmetry, cystometry, video-urodynamics, and non-invasive techniques Details on the successful running of a urodynamic unit, with information on organizational issues, equipment set-up, and common problems and pitfalls Sections addressing children, women, men, the elderly, and neuropaths Extensive description of International Continence Society (ICS) Standards throughout Appendices that include ICS Standards and Fundamentals documents, ICIQ modules, and Patient Information Leaflets With its wealth of clinical tips, illustrations, new innovations, and hands-on advice, Abrams’ Urodynamics is essential reading for all those wishing to better integrate urodynamic testing into their daily practice.

A concise and comprehensive user-friendly reference that answers practical questions concerning urodynamics. Addresses the technical and medical expertise needed to perform and interpret urodynamic studies in general and in a disease specific situation. Stresses simplicity and practicality and covers the components of the urodynamic evaluation, videourodynamics, technical aspects of the urodynamic evaluation, bladder outlet obstruction, neurogenic voiding dysfunction, urodynamicism, female urology, pediatric urology, and much more. Features 160 helpful illustrations.

This book is aimed to bring the reader into the heart of the action of any health professional consulted for a patient with a neurogenic bladder (NB). Extensive textbooks of the NB exist but there is a lack of an actual practical guide for diagnosis and management of patients suffering from NB. This book provides a single source of information on consultation in neurourology. The text covers both urinary incontinence and retention resulting from NB dysfunction. The book also discusses complications of NB which include urinary tract infections, hydronephrosis, renal failure or autonomic dysreflexia. Sections address these clinical issues faced by physicians. This book provides a useful guide with comprehensive and practical instructions for all practitioners dealing with NB in their day-to-day clinical practice. It will serve as a valuable resource for those with a special interest in NB. The book reviews new data about diagnostic and management options. It also provides a concise yet comprehensive summary of the current NB guidelines from different societies. All chapters include the most up to date scientific and clinical information with the relevant level of clinical evidence and grade of recommendation.

Urodynamics is the investigation of the function of the lower urinary tract – the bladder and urethra – using physical measurements, such as urine pressure and flow rate as well as clinical assessment (netdoctor). This book is a concise guide to urodynamics (UDS) for trainee urologists. Beginning with an introduction to the anatomy and physiology of the lower urinary tract, the next section discusses clinical assessment which begins with a medical history and examination – which may reveal abnormalities within the lower abdomen or pelvis that are contributing to the lower urinary tract symptoms. The patient is then given a urination (voiding) diary to be kept for three days, to document their fluid intake and output, including episodes of incontinence (netdoctor). Each of the following chapters examines a different UDS test and its interpretation. The final sections describe representative clinical cases, and reporting on urodynamics. Key points Concise guide to urodynamics (UDS) for trainee urologists Detailed coverage of clinical assessment and different UDS tests Includes chapter on representative clinical cases Features more than 75 images and illustrations

This book introduces neurourology as an emerging interdisciplinary area that covers the basic and clinical studies of the neural control on the normal lower urinary tract and the lower/upper urinary tract dysfunction due to neuropathy disorders. It systematically describes all aspects of neurourology from the epidemiology of the neurogenic bladder; to the pathology and pathophysiology of the lower urinary tract; to the diagnosis and treatment of the neurogenic bladder by conservative therapies or surgeries. This book provides a useful resource for medical doctors, nurses and students in the field of neurourological conditions. In this 2nd edition, 15 chapters are added, e.g. on urodynamic practice, psychogenic reasons of LUTDs, standard of care, physiotherapy, upper urinary tract rehabilitation to enable self-catheterization, pediatric neurourology, new surgical procedures. The editors have invited an impressive number of renowned contributors, including 98 internationally recognized specialists in this field from 25 countries in Europe, Asia, North America, and South America. This handbook provides a useful resource for medical doctors, nurses and students in the field of neurourological conditions.