Practical Urodynamics For The Clinician

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.

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 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 book offers gynecologists and urogynecologists a pocket guide to urodynamic testing in women with lower urinary tract symptoms. In female urology, the main indications for urodynamics are urinary incontinence, pelvic organ prolapse, urgency-frequency syndrome (also known as overactive bladder), emptying disorders and painful bladder. By collecting quantitative measurements while reproducing the patient’s voiding symptoms where appropriate and possible, urodynamics helps to identify the cause of symptoms, supports management and facilitates prognoses. However, despite the undeniable advantages, the role of urodynamics in female urology is hotly debated. The book starts by describing the physiological background and methodological considerations for urodynamic best practice in the preclinical setting. It then explains how to perform urodynamics correctly – so-called “good urodynamic practice” – to increase the readers’ confidence and ability to perform and interpret urodynamic investigations. Lastly, it reviews the advantages and disadvantages of urodynamic testing in each of the key clinical female urology conditions. A separate chapter focuses on the peculiarities of diagnosis and management for female patients with neurogenic bladder. This guide offers a valuable tool for gynecologists, urologists and urogynecologists, as well as a ready source of information for all physicians involved in diagnosing and treating lower urinary tract disorders in women.

The Fourth Edition of Urodynamics Made Easy provides a concise and user-friendly guide to the principles and clinical practice of urodynamics as applied to the routine diagnosis and management of patients. The emphasis of this book is on the ethos behind the practice of urodynamics and how this needs to be integrated into the evaluation of all patients with lower urinary tract symptoms. It offers clear information presented in a visually appealing and easily accessible format. A great and simple teaching tool that will assist the novice as well as the more experienced practitioner Superbly illustrated in full colour. An invaluable and practical, yet comprehensive, resource for all those interested in growing their understanding of and expertise in pelvic floor diseases. This edition has been completely updated, especially in relation to the electronic urodynamic measuring devices now available. The clinical relevance has also been enhanced. Urodynamics made Easy provides an invaluable source of information to urologists, gynaecologists and urodynamic nurses, and will also be of interest to general surgeons, radiologists and general practitioners.

This book aims to impart all the practical knowledge required in order to evaluate and treat children with anatomical, neurological, and functional incontinence. It explains how appropriate choice of management in childhood depends first of all on a correct diagnosis, then on thorough urodynamic evaluation, and finally on sound assessment of the condition of the individual patient. The full range of relevant pathologies are considered and all of the treatment options are extensively discussed, including behavioral therapy, rehabilitation, physiotherapy, pharmacotherapy, neuromodulation, endoscopic procedures, and surgical reconstruction. Careful attention is paid to the impacts that treatments performed during childhood may have on later adult life, including on fertility and pregnancy, with a view to ensuring that the reader will be in a position to time treatments correctly, thereby avoiding adverse effects, and possess all the information needed to address the concerns of patients and their families. The book will be of value to pediatricians, urologists, nurses, physiotherapist, students, and all others with an interest in the field.

The Fourth Edition of Urodynamics Made Easy provides a concise and user-friendly guide to the principles and clinical practice of urodynamics as applied to the routine diagnosis and management of patients. The emphasis of this book is on the ethos behind the practice of urodynamics and how this needs to be integrated into the evaluation of all patients with lower urinary tract symptoms. It offers clear information presented in a visually appealing and easily accessible format. A great and simple teaching tool that will assist the novice as well as the more experienced practitioner Superbly illustrated in full colour. An invaluable and practical, yet comprehensive, resource for all those interested in growing their understanding of and expertise in pelvic floor diseases. This edition has been completely updated, especially in relation to the electronic urodynamic measuring devices now available. The clinical relevance has also been enhanced. Urodynamics made Easy provides an invaluable source of information to urologists, gynaecologists and urodynamic nurses, and will also be of interest to general surgeons, radiologists and general practitioners.

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.

For centuries, physicians studied the appearance and characteristics of urine as a guide to the health of the individual. In contrast, the mechanism of micturition attracted little attention and, until recent years, the study of the lower urinary tract consisted mainly of some form of cystometry and in watching the force of the stream. Exactly when more precise measurements began can be debated but interest in the subject developed rapidly following the improved methods for measuring urinary ftow rates introduced by von Garrelts in 1956. The level of interest and investigation in this subject has since grown quickly though not without debate. Now, after a quarter of a century of endeavour, urodynamics has an established place not only in urology but many other areas of medicine and this book is a lucid account of the current practice of the subject. The special characteristic of this book is that it represents a very cohesive description of the subject as developed in one medical centre. The advantage of this is readily evident by the way in which the Authors have covered the subject, from patient assessment to organisation of urodynamic units, in a logical and practical style. The Authors have also planned the contents so that the reader can follow the evolution of the subject and thereby appreciate the way in which the subject has grown, how the terminology has developed and, perhaps most relevant, how to staff a urodynamic service.