BookEric S. Rovner, Michelle E. Koski, editors.
Summary: 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.
Contents:
Urodynamic Studies: Types and Indications
The 9 "C's" of Pressure-Flow Urodynamics
Urodynamics Equipment: Selection and Training
Physician Coding and Reimbursement for Urodynamics
Conducting the urodynamic study
Artifact recognition and solutions in urodynamics
Optimizing the study
Special Considerations in the Pediatric Patient
Special Considerations in the Neurogenic Patient
The Normal Study
Bladder Filling and Storage: "Capacity"
Bladder Filling and Storage: "Compliance"
Bladder Filling and Storage: "(Coarse) Sensation"
Bladder Filling and Storage: (Involuntary) Contractions
Bladder Filling and Storage: "Continence: Stress Incontinence"
Bladder Emptying: Contractility
Bladder Emptying: Coordination of bladder and sphincters
Bladder Emptying: Complete Emptying
Bladder Emptying: Clinical Bladder Outlet Obstruction
Test Tracings: The Final Exam
Appendix: Differential Diagnosis and Pattern Recognition: Causes of commonly encountered patterns on PFUD tracings.