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  • Book
    edited by Marcus Drake, Hashim Hashim, Andrew Gammie.
    Summary: "Urodynamics has two basic aims: To reproduce the patient's symptomatic complaints while making key observations. To provide a pathophysiological explanation by correlating the patient's symptoms with the urodynamic findings. These two basic aims are crucial to the purpose of urodynamics - essentially it is a diagnostic test that will aid in the management of patients. The need to make urodynamic observations reflects the fact that the patient's symptoms are important, but they might be somewhat misleading. Most patients with lower urinary tract dysfunction (LUTD) present to their doctor with symptoms. However, lower urinary tract symptoms (LUTS - Table 1) should not simply be taken at face value, since a range of differing mechanisms may result in rather similar symptomatic presentations. The statement "the bladder is an unreliable witness" (1) reflects how symptoms are the starting point, but do not actually identify the ultimate explanation. Since treatment should correct the underlying cause, it is necessary to identify mechanisms, avoiding assumption or prejudice coming from taking symptoms at face value. An excellent example of this is voiding LUTS in men, where the cause on urodynamic testing may prove to be bladder outlet obstruction (BOO) and/or detrusor underactivity (DUA); BOO should respond fully to surgery to relieve obstruction such as transurethral resection of prostate (TURP), while such surgery is potentially not helpful in the second (2). Voiding LUTS in males are of unreliable diagnostic value, and only slow stream and hesitancy show any correlation with the urodynamic findings of BOO (3-5). Even with flow rate assessment, one cannot be sure whether BOO is present [Figure 1.1]. The difficulty of assessing LUTD by symptoms alone is the uncertainty about establishing truly what is going on in the individual describing them"-- Provided by publisher

    Basic urodynamics and fundamental issues / Marcus Drake, Andrew Gammie, Laura Thomas, Arturo Garcia, Hashim Hashim
    Applied Anatomy and Physiology / Chendrimada Madhu and Marcus Drake
    The Physics of Urodynamic Measurements / Andrew Gammie
    Patient Assessment / Musaab Yassin, Alan Uren, Nikki Cotterill
    Treatments for Lower Urinary Tract Dysfunction / Sharon Yeo, Hashim Hashim
    Uroflowmetry / Amit Mevcha, Richard Napier-Hemy
    Cystometry and pressure-flow studies / Marcus Drake, Rachel Tindle, Su-Min Lee
    Videourodynamics / Marcus Drake, Michelle Ong, Devang Desai, Michel Wyndaele, Mark Woodward, Hashim Hashim
    Ambulatory Urodynamics / Julie Ellis-Jones, Wendy Bevan, Dharmesh Kapoor, Marcus Drake
    Studies assessing urethral pressures / Dharmesh Kapoor and Marcus Drake
    Non-invasive urodynamics / Alison Bray, Christopher Blake, Christopher Harding
    Urodynamics in Children / Jonathan S. Ellison, Guy Nicholls, and Mark Woodward
    Urodynamics in Women / Wael Agur, Ruben Trochez, Antonin Prouza, George Kasyan, Abdelmageed Abdelrahman
    Urodynamics in Men / Arturo García-Mora, Connie Chew, Marcus Drake
    Structural changes of the bladder outlet / Michelle Ong, Marcus Drake and Devang Desai
    Neurological disease and LUTS / Marcus Drake, Jeremy Nettleton, Mo Belal
    Urodynamics in older people / Su-Min Lee, Emily Henderson
    Troubleshooting during urodynamics / Laura Thomas, Rachel Tindle, Andrew Gammie
    Artefacts in urodynamics / Andrew Gammie
    Anorectal Physiology / Laura Thomas and Kathryn McCarthy
    Organisation of the Urodynamic Unit / Laura Thomas, Alexandra Bacon, Joanne Sheen and Andrew Gammie
    Equipment / Andrew Gammie
    Working with limited resources / Andrew Gammie, Laura Thomas, Marcus Drake, Eskinder Solomon
    Research evidence on the clinical role of urodynamics / Andrew Gammie, Marcus Drake and Hashim Hashim.
    Digital Access Wiley 2021