Rapid and Practical Interpretation of Urodynamics

Description

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.

Table of Contents

PART I: UDS STUDIES

1. Urodynamic Studies: Types and Indications
Benjamin M. Brucker and Victor W. Nitti

2. The 9 “C’s” of Pressure-Flow Urodynamics
Kelly C. Johnson and Eric S. Rovner

3. Urodynamics Equipment: Selection and Training
Alana M. Murphy and Howard B. Goldman

4. Physician Coding and Reimbursement for Urodynamics
David J. Osborn, Denise Gartin, W. Stuart Reynolds and Roger R. Dmochowski

5. Conducting the urodynamic study
Ahmed El-Zawahry

6. Artifact recognition and solutions in urodynamics
Ross Rames and Lara S. MacLachlan

7. Optimizing the study
Lynette E. Franklin

8. Special Considerations in the Pediatric Patient
J. Todd Purves and Andrew A. Stec

9. Special Considerations in the Neurogenic Patient
Teresa L. Danforth and David Ginsberg

PART II: INTERPRETATION OF TRACINGS

10.The Normal Study
Michelle E. Koski and Eric S. Rovner

11. Bladder Filling and Storage: “Capacity”
Ariana L. Smith, Mary Y. Wang and Alan J. Wein

12. Bladder Filling and Storage: “Compliance”
Elizabeth Timbrook Brown, Kristi L. Hebert and J. Christian Winters

13. Bladder Filling and Storage: “(Coarse) Sensation”
Ying H. Jura and Christopher K. Payne

14. Bladder Filling and Storage: (Involuntary) Contractions
Chong Choe and Kathleen Kobashi

15. Bladder Filling and Storage: “Continence: Stress Incontinence”
Anne M. Suskind and J. Quentin Clemens

16. Bladder Emptying: Contractility
Chasta Bacsu, Jack C. Hou and Gary E. Lemack

17. Bladder Emptying: Coordination of bladder and sphincters
Cory Harris, Phillip P. Smith and Angelo E. Gousse

18. Bladder Emptying: Complete Emptying
Alexander Gomelsky and Melissa R. Kaufman

19. Bladder Emptying: Clinical Bladder Outlet Obstruction
Michael E. Albo

PART III: FINAL EXAMINATION: UNKNOWNS

20. Test Tracings: The Final Exam

Appendix: Differential Diagnosis and Pattern Recognition: Causes of commonly encountered patterns on PFUD tracings
Eric S. Rovner, Michelle E. Koski and Kelly C. Johnson

Authors

Eric S. Rovner, MD
Professor of Urology, Medical University of South Carolina, Department of Urology, Director, Section of Female Urology, Neurourology and Urodynamics, Charleston, SC, USA

Michelle E. Koski, MD
Kaiser Permanente Southern California, Department of Urology, San Marcos, CA, USA