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.
Key Features
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.
Author(s): Christopher Chapple, Christopher Hillary, Anand Patel, Scott MacDiarmid
Series: Made Easy
Edition: 4th Edition
Publisher: Elsevier
Year: 2018
Language: English
Pages: 214
Cover......Page 1
Urodynamics Made Easy......Page 2
Focused history and physical examination......Page 3
Urodynamic evaluation......Page 5
Lower urinary tract symptoms terminology......Page 6
The kidneys and ureters......Page 9
The urinary bladder......Page 10
The urethra and sphincteric mechanisms......Page 11
Female sphincteric mechanisms......Page 13
Storage phase......Page 14
Voiding phase......Page 15
Sensory (afferent) control......Page 17
Voluntary control of voiding......Page 19
Conclusions......Page 20
Indications for urodynamic assessments......Page 21
Standardization and quality control......Page 22
Aims of urodynamic investigations......Page 23
Method and standardization......Page 24
Bladder retraining......Page 26
Method and standardization......Page 28
Normal values......Page 30
Method and standardization......Page 31
Normal values......Page 32
Interpretation......Page 33
Fast bladder......Page 34
Flat plateau......Page 35
Practical points......Page 37
Postvoid residual determination......Page 38
Indications and aims......Page 40
Method and standardization......Page 41
Urethral pressure measurement......Page 42
Urethral pressure profilometry......Page 43
Fluid bridge test......Page 44
Practical points......Page 45
Neurophysiological investigation......Page 46
Methods......Page 47
Upper urinary tract urodynamics......Page 49
The Whitaker test......Page 50
Practical points......Page 52
Aims of pressure/flow cystometry......Page 53
Subtraction cystometry......Page 54
Videocystometrography (also known as videocystometry and video urodynamics)......Page 56
Subtraction cystometry or video urodynamics?......Page 57
Equipment setup......Page 58
Intravesical......Page 59
Intraabdominal......Page 60
External fluid-charged pressure transducers......Page 61
Catheter-mounted transducers......Page 62
Air-charged pressure sensing technology......Page 64
Dual lumen......Page 65
Fluid temperature......Page 66
Setting the zero pressure......Page 67
External fluid-filled system......Page 68
Microtip and air-filled systems......Page 69
Resting pressures......Page 70
Dampening and subtraction......Page 71
Medications......Page 72
Cystometry stages......Page 73
Patient position......Page 74
Initial residual......Page 75
Bladder sensations......Page 76
Detrusor overactivity......Page 77
Cystometric capacity......Page 80
Maximum cystometric capacity......Page 81
Abdominal leak point pressure (ALPP)......Page 82
Video urodynamic screening during the storage phase......Page 83
Voiding phase......Page 84
Normal detrusor function......Page 88
Normal urethral function......Page 89
Detrusor sphincter dyssynergia......Page 90
Nonrelaxing urethral sphincter obstruction......Page 91
Postvoid residual urine......Page 92
Completion of a pressure/flow study......Page 93
Activity external to the bladder......Page 95
Rectal activity......Page 96
Negative rectal pressure......Page 97
Loss of trace activity......Page 98
Sudden changes of pressure......Page 99
Indications......Page 100
Performing an AUM study......Page 101
Analysis of results......Page 102
Overactive bladder syndrome and urgency incontinence......Page 105
Management of overactive bladder and urgency incontinence......Page 109
Uroflowmetry......Page 112
Detrusor overactivity......Page 113
Cough-induced incontinence......Page 115
Stress incontinence......Page 116
Voiding diaries......Page 118
Other urodynamic tests......Page 119
Bladder neck descent and hypermobility......Page 120
Mixed urinary incontinence......Page 123
Overflow incontinence......Page 124
Continuous urinary incontinence......Page 125
Incontinence in men......Page 126
Post-prostatectomy incontinence......Page 127
Patient evaluation in post-prostatectomy incontinence......Page 128
Management......Page 129
Introduction......Page 131
Anatomical bladder outflow obstruction......Page 132
Benign prostatic obstruction......Page 133
Bladder neck obstruction......Page 136
Urethral stricture......Page 137
Voiding diaries......Page 138
Video urodynamics......Page 140
Urodynamic findings in bladder outflow obstruction......Page 141
Interpreting pressure/flow cystometry in bladder outflow obstruction......Page 143
Detrusor sphincter dyssynergia (DSD)......Page 145
Urodynamic findings in functional obstruction......Page 146
Detrusor underactivity and the underactive bladder......Page 148
Initial......Page 149
Pressure/flow cystometry......Page 150
Video urodynamics......Page 152
Increased bladder sensation......Page 153
Evaluation of bladder hypersensitivity......Page 154
Pressure/flow cystometry......Page 157
Evaluation of bladder hyposensitivity......Page 158
Uroflowmetry and postvoid residual......Page 159
Pressure/flow cystometry......Page 160
History and examination......Page 161
Pressure/flow cystometry......Page 162
Management......Page 164
Pattern of dysfunction......Page 167
Pattern of dysfunction......Page 168
Urodynamics for neurogenic bladder disorders......Page 169
Neurogenic detrusor and sphincter overactivity......Page 170
Spinal shock......Page 171
Autonomic dysreflexia......Page 173
Electromyography......Page 174
Recording site......Page 175
Nerve conduction studies......Page 176
Ice water test......Page 177
Paediatric lower urinary tract dysfunction......Page 181
History and examination......Page 182
Uroflowmetry......Page 183
Cystometry......Page 184
Interpretation......Page 185
Compliance......Page 186
Prior to the test: equipment factors and setup......Page 187
Storage phase......Page 188
At the end of the study......Page 189
Storage......Page 191
Leak point pressures and urethral pressure profilometry......Page 192
Appendix 3: Example traces......Page 193
International continence society documents and reports......Page 211
Clinical guidelines......Page 213
Blank Page......Page 214
