Urodynamics For Urogynecologists

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.

A practical primer for physicians wanting to learn about simple and complex urodynamic testing. The clear, concise workbook structure allows for quick reference to multichannel urodynamic tracings and their interpretation. Brief but thorough discussion of the underlying theory and concepts behind urodynamic testing enable readers to gain a firm grasp of the implications of test results in individual patients. It provides an understanding of all the techniques used for the evaluation and treatment of the incontinent or lower urinary tract dysfunctional female patient, and also includes a quick reference guide to outpatient treatment. In contrast to other didactic texts, this book allows readers to initiate testing programs and will thus be of practical benefit to all those interested in improving patient care.

Edited and authored by some of the most respected figures in the field, this newly revised book is your comprehensive guide to all areas of urogynecology, including urinary and fecal incontinence, urodynamic testing, management of genuine stress incontinence, pelvic organ prolapse, overactive bladder, and much more. Uniquely organized to reflect a physician's decision-making process, this practical, clinically oriented text moves from basic concepts through to clinical and urodynamic evaluation, management, and treatment. Inside, you'll find evidence-based assessments of appropriate therapies, along with algorithmic approaches to common complaints, and clear surgical illustrations. Exclusive to the third edition is a section addressing painful and irritative voiding disorders, including overactive bladder, as well as 20 new case presentations that offer opinions from the leading experts in urogynecology and urology. Features step-by-step instructions for urodynamic testing. Addresses all urogynecologic disorders, including genuine stress incontinence · pelvic organ prolapse · defecation disorders · painful and irritative voiding disorders · and specific conditions such as urinary tract infection. Presents vital information on urethral injections, covering the newest treatment options available. Examines the use of autologous materials and mesh in reconstructive pelvic surgery. Uses over 300 crisp illustrations to illuminate every detail. Contains a new section on painful and irritative voiding disorders, including a discussion of overactive bladder and the latest treatment options available. Discusses urodynamics and the most up-to-date testing available for urethral sphincteric function. Features 20 all new case presentations with expert commentary.

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.

Edited and authored by some of the most respected figures in the field, Urogynecology and Reconstructive Pelvic Surgery presents definitive, state-of-the-art guidance on every aspect of Female Pelvic Medicine and Reconstructive Surgery (FPMRS), equipping you to make the best clinical decisions and optimize outcomes. Its easily accessible format is uniquely organized to reflect a physician's decision-making process -- from basic concepts through to clinical and urodynamic evaluation, management, and treatment. This practical, clinically oriented text is an ideal resource for OB/GYNs and Urologists as well as subspecialists in FPMRS, providing the latest information on procedures and available research regarding the evaluation and treatment of the growing number of patients presenting with these types of conditions. Glean all essential, up-to-date, need-to-know information with a new section on surgical complications and their management; important new discussions on the psychosocial issues associated with treating patients with female pelvic floor disorders; and a new focus on female sexual function and dysfunction. Prevent and plan for complications prior to a procedure thanks to a step-by-step approach to each procedure, complete with personal techniques and tips from leading experts. Put concepts into practice. Case presentations from leading experts in FPMRS allow the reader to apply the information presented to everyday clinical situations. Effectively detect, prevent and treat common female pelvic floor disorders including stress incontinence, overactive bladder, pelvic organ prolapse, defecation disorders, painful bladder and irritative voiding disorders, and urinary tract infection. Get a true-to-life view of each procedure through full-color, crisp illustrations that illuminate every detail and nuance. Stay current the latest advancements and developments with sweeping updates and 9 NEW chapters: Congenital Anomalies of the Female Genital and Urinary Tracts l Physiology of the Pelvic Muscles, Vagina and Ano-Rectum l Female Sexual Function and Dysfunction l Multichannel-Urodynamics: Indications, Techniques and Interpretation with Case Studies l Video and Ambulatory Urodynamics: Indications, Techniques and Interpretation with Case Studies l Hysteropexy l Avoiding and Managing Lower Urinary Tract Injuries During Pelvic Surgery l Managing Mesh and other Vaginal Complications after Surgeries for Incontinence and Prolapse l and Surgical Management of Detrusor Compliance Abnormalities. Master urodynamic testing with step-by-step instructions on basic evaluation as well as the evaluation of complex cases with videourodynamics. Know what to do and expect with algorithmic approaches to common complaints, evidence-based assessments of appropriate therapies, and clear full-color surgical illustrations as well as evidence-based assessments of appropriate therapies.

Uniquely designed to reflect the physician’s decision-making process, Walters & Karram Urogynecology and Reconstructive Pelvic Surgery presents definitive, state-of-the-art guidance on every aspect of female pelvic medicine and reconstructive surgery. This practical, atlas-style resource covers everything from basic concepts through to clinical and urodynamic evaluation, management, and treatment, equipping you to make the best clinical decisions and optimize outcomes. Edited and authored by renowned experts in the field, this updated 5th Edition is an ideal resource for urogynecology fellows and practitioners, urologists, and OB/GYNs who need a step-by-step, comprehensive reference on the latest procedures and research to evaluate and treat female pelvic floor disorders. Offers a comprehensive approach to all urogynecologic disorders, including genuine stress incontinence, pelvic organ prolapse, defecation disorders, painful and irritative voiding disorders, and specific conditions such as urinary tract infection. Provides algorithmic approaches to common complaints, evidence-based assessments of appropriate therapies, and hundreds of clear surgical illustrations, photographs, and radiographs. Features an all-new video collection to clearly demonstrate key procedures. Contains new chapters on Urology for the Urogynecologist and Interstitial Cystitis/Bladder Pain Syndrome. Contains timely discussions of surgical complications, the psychosocial issues associated with treating patients with female pelvic floor disorders, and female sexual function and dysfunction. Includes case presentations from leading experts in urogynecology and urology that allow you to apply the information presented to everyday clinical situations.

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.

Featuring contributions by an international team of the world’s experts in urology and gynecology, this fifth edition reinforces its status as the classic comprehensive resource on female urology and urogynecology and an essential clinical reference in the field, with new chapters throughout. Each volume is now available separately. *Offers a comprehensive guide to medical aspects *Covers important classic and newer topics *Presents a practical and manageable level of detail