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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 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.
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 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.
Author : Christopher R. Chapple Publisher : Springer Science & Business Media Page : 559 pages File Size : 33,97 MB Release : 2011-05-10 Category : Medical ISBN : 1848820348
This book fulfils the need for a general urology text primarily urologists in training. It has a novel format by having a clinical chapter always preceded by a scientific foundation chapter. The scientific chapter is geared toward answering questions for boards and understanding pathophysiology, is concise and relevant. The clinical chapter is written around evidence-based medicine and in "how-to" format with algorithms, with reference to AUA & EAU guidelines, well illustrated.
Author : Peter K. Sand Publisher : Springer Science & Business Media Page : 381 pages File Size : 32,14 MB Release : 2012-12-06 Category : Medical ISBN : 1447121090
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.
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.
This book provides a case based approach to the problems faced within pediatric urology and an evidence based approach to their solutions. Chapters on urodynamics, external genitalia, the upper urinary tract, the lower urinary tract, and office pediatric urology are included. Practical Pediatric Urology aims to utilise real life scenarios to improve data analysis, diagnosis, and treatment decisions within clinical settings. Key learning objectives are included to enable medical professionals to assimilate, synthesise, and formulate a management plan for pediatric urological conditions encountered in clinical practice in a safe and evidence based approach. This book is relevant to pediatricians, pediatric surgeons, pediatric urologists and adult urologists who undertake some pediatric urology practice.
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.
Functional urology is that part of urological practice which deals with functional disorders of the lower urinary tract. Among the diseases that cause functional disorders are spina bifida, spinal cord injury, pelvic organ prolapse, and urethral strictures. This book on practical functional urology will help urologists, urogynecologists, and others to diagnose and treat these functional disorders. The theoretical background and scientific basis are summarized, but the emphasis is very much on clinical practice. Diagnosis and treatment are presented for a variety of conditions, including overactive bladder, detrusor underactivity, painful bladder syndrome/interstitial cystitis, prostatitis, stress urinary incontinence, pelvic organ prolapse, urinary tract infections, and urethral disorders. The content is based on the EAU guidelines, and for each disorder, helpful tips and tricks are highlighted.