Additional Information
Book Details
Abstract
This issue of the Urologic Clinics will focus on urodynamic testing in men, women and special situations. Appropriate urodynamic testing options including video urodynamics, pressure flow studies, and neurogenic voiding discussion will be discussed. Dr. Nitti and Dr. Brucker have assembled well known experts in their fields to provide current clinical information for urodynamic evaluation, diagnosis, and treatment.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Urodynamics\r | i | ||
| Copyright\r | ii | ||
| Contributors\r | v | ||
| Contents\r | vii | ||
| Urologic Clinics Of North America\r | x | ||
| Foreword\r | xi | ||
| Preface\r | xiii | ||
| AUA/SUFU Adult Urodynamics Guideline | 353 | ||
| Key points | 353 | ||
| Introduction | 353 | ||
| Stress urinary incontinence and pelvic organ prolapse | 354 | ||
| Overactive bladder, urgency urinary incontinence, mixed incontinence | 356 | ||
| Neurogenic bladder | 357 | ||
| Lower urinary tract symptoms | 359 | ||
| References | 361 | ||
| Good Urodynamic Practice | 363 | ||
| Key points | 363 | ||
| Introduction | 363 | ||
| Components of UDS | 363 | ||
| Postvoid Residual | 363 | ||
| Uroflowmetry | 364 | ||
| Filling Cystometry | 364 | ||
| Pressure-Flow Study | 364 | ||
| Electromyography | 364 | ||
| Fluoroscopy | 365 | ||
| Pretest considerations | 365 | ||
| Performing the study | 366 | ||
| Filling and Storage | 366 | ||
| Fill Rate and Capacity | 366 | ||
| Sensation | 367 | ||
| Leak Point Pressure Testing | 367 | ||
| ALPP Testing | 367 | ||
| DLPP Testing | 367 | ||
| Compliance | 367 | ||
| Involuntary Detrusor Contractions (DO) | 368 | ||
| Emptying | 368 | ||
| Obstruction | 369 | ||
| Coordination | 369 | ||
| Contractility | 369 | ||
| Artifact recognition | 370 | ||
| Poststudy considerations | 372 | ||
| Summary | 372 | ||
| References | 372 | ||
| Can Intrinsic Sphincter Deficiency be Diagnosed by Urodynamics? | 375 | ||
| Key points | 375 | ||
| Introduction | 375 | ||
| History | 376 | ||
| Using urodynamics to evaluate SUI | 376 | ||
| Using urodynamics to diagnose ISD | 377 | ||
| The surgical approach to ISD | 379 | ||
| Can ISD be diagnosed by urodynamics | 379 | ||
| References | 380 | ||
| Videourodynamics | 383 | ||
| Key points | 383 | ||
| Introduction | 383 | ||
| Indications | 384 | ||
| Neurogenic Bladder | 384 | ||
| Obstructed Voiding | 385 | ||
| Congenital Genitourinary Anomalies or History of Reconstruction | 387 | ||
| VUDS technique | 387 | ||
| Equipment | 388 | ||
| Multichannel urodynamics | 388 | ||
| Fluoroscopy | 388 | ||
| Contrast | 389 | ||
| Specialized fluoroscopy table | 389 | ||
| Set-Up and Technique | 389 | ||
| Limitations | 390 | ||
| Summary | 390 | ||
| References | 390 | ||
| Urodynamics in Stress Incontinence | 393 | ||
| Key points | 393 | ||
| Cost of urodynamic studies | 393 | ||
| Urodynamic evaluation | 394 | ||
| Clinical scenarios | 394 | ||
| Why are we asking the question? | 395 | ||
| Comparing office evaluation versus preoperative UDS | 395 | ||
| Types of urinary incontinence | 396 | ||
| Selection of surgical technique | 396 | ||
| Summary | 397 | ||
| References | 397 | ||
| Urodynamics in Male LUTS | 399 | ||
| Key points | 399 | ||
| Introduction | 399 | ||
| Urodynamic principles | 401 | ||
| Role of UDS | 404 | ||
| Summary | 406 | ||
| References | 406 | ||
| Urodynamics in Pelvic Organ Prolapse | 409 | ||
| Key points | 409 | ||
| Introduction | 409 | ||
| Evaluation for stress incontinence on prolapse reduction (occult stress urinary incontinence) | 410 | ||
| Methods of prolapse reduction | 412 | ||
| Evaluation of concomitant storage symptoms | 412 | ||
| Evaluation of voiding symptoms or elevated postvoid residual | 413 | ||
| Other options for preoperative testing in patients with POP | 414 | ||
| Summary | 415 | ||
| References | 415 | ||
| Urodynamics for Postprostatectomy Incontinence | 419 | ||
| Key points | 419 | ||
| Introduction | 419 | ||
| Evaluation of postprostatectomy incontinence | 420 | ||
| Indications for urodynamics | 420 | ||
| Urodynamic findings and their relevance | 420 | ||
| Detrusor Underactivity | 420 | ||
| Detrusor Overactivity | 422 | ||
| Impaired Compliance | 423 | ||
| Low Abdominal Leak Point Pressure | 423 | ||
| Bladder Outlet Obstruction | 423 | ||
| Role of fluoroscopy (videourodynamics) | 424 | ||
| When may urodynamics not be needed? | 424 | ||
| Summary | 425 | ||
| References | 425 | ||
| Urodynamics in the Evaluation of Female LUTS | 429 | ||
| Key points | 429 | ||
| Introduction | 429 | ||
| Investigating LUTS in women | 430 | ||
| Urodynamic tests used to investigate LUTS | 431 | ||
| Urodynamic testing in female LUTS | 431 | ||
| Storage LUTS: SUI | 432 | ||
| Storage LUTS: MUI and OAB | 433 | ||
| Voiding LUTS: suspected obstruction | 434 | ||
| Urodynamic testing in suspected obstruction | 434 | ||
| Functional urinary obstruction | 436 | ||
| Summary | 437 | ||
| References | 437 | ||
| Urodynamics in the Evaluation of the Patient with Multiple Sclerosis | 439 | ||
| Key points | 439 | ||
| Introduction | 439 | ||
| Urodynamic findings in patients with MS | 440 | ||
| Urinary symptoms in patients with MS | 440 | ||
| The complex relationship between disease severity, urologic symptoms, and urodynamic findings | 441 | ||
| Urodynamics and upper tract monitoring | 442 | ||
| Summary | 443 | ||
| References | 443 | ||
| Neurogenic Lower Urinary Tract Dysfunction | 445 | ||
| Key points | 445 | ||
| Who: epidemiology of neurogenic lower urinary tract dysfunction | 445 | ||
| Historical Perspective | 445 | ||
| How: performing UDS in a patient with NLUTD | 446 | ||
| Preparation for the Study | 446 | ||
| Filling Rate | 446 | ||
| Electromyography | 446 | ||
| Videourodynamics | 446 | ||
| AD | 447 | ||
| Challenges of UDS in NLUTD | 449 | ||
| When: baseline and follow-up studies | 449 | ||
| Spinal Shock | 449 | ||
| Initial Study | 449 | ||
| Follow-up Studies | 449 | ||
| Summary | 451 | ||
| References | 451 | ||
| Pressure Flow Studies in Men and Women | 453 | ||
| Key points | 453 | ||
| Introduction | 453 | ||
| Basics of PFS | 453 | ||
| Measuring urodynamic obstruction | 454 | ||
| PFS in Men | 454 | ||
| The Abrams-Griffiths Nomogram | 454 | ||
| The Concept of the Urethral Resistance Factor | 454 | ||
| Passive Urethral Resistance Relation | 457 | ||
| Linear Passive Urethral Resistance Relation | 458 | ||
| The ICS Nomogram | 459 | ||
| PFS in Women | 461 | ||
| Measuring detrusor underactivity | 463 | ||
| The Power (Watt) Factor | 464 | ||
| Bladder Contraction Index and the Composite Nomogram | 464 | ||
| Summary | 465 | ||
| References | 465 | ||
| Index | 469 |