Titlebook: Rapid and Practical Interpretation of Urodynamics; Eric S. Rovner,Michelle E. Koski Book 2015 Springer Science+Business Media New York 201

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Optimizing the Studyr et al., Neurourol Urodyn 21:261–74, 2002). These expert guidelines are best translated into a clinically effective study when combined with practical clinical knowledge that helps identify and resolve any barriers to performing a high quality study. Pressure-flow urodynamics are, in general, a non

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Special Considerations in the Pediatric Patiente spectrum of maturation; from immature infantile voiding physiology to that of an adult. Urodynamics (UDS) provides quantitative measurements of bladder function and can be of critical importance in identifying which of the myriad causes of pediatric voiding pathology may be affecting a particular

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Special Considerations in the Neurogenic Patienttay of evaluation of patients with NGB is urodynamics (UDS). UDS is essential in managing patients with NGB as most patients will require treatment modification based on their studies. More importantly, Nossier et al. demonstrated that up to 68 % of asymptomatic patients might be at risk for upper t

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The Normal Study, one must be aware of the normal values in each measurable parameter, as well as the appearance, pattern, and configuration of the graphic display, and the variability that is noted in these parameters, even in normal, asymptomatic patients. Several examples of normal urodynamic studies are given.

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Bladder Filling and Storage: “Capacity”e gives the clinician an idea of whether urinary symptoms are due to diminished bladder capacity, increased fluid intake, or other causes. This information assists the clinician with selecting treatment and management strategies for the patient. Bladder capacity can be assessed in several different

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Bladder Filling and Storage: “(Coarse) Sensation”First sensation of filling, (2) First desire to void, (3) Strong desire to void. Studies in normal subjects show that volumes at which each sensation occurs at a fairly constant percentage of total bladder volume. First sensation of bladder filling occurs at an average of 40 % of maximal cystometric

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Bladder Filling and Storage: “(Involuntary) Contractions” lower urinary tract function. Ideally, the patient’s symptoms are reproduced during the study to provide objective measurements which correlate with the patient’s symptoms. UDS should be considered as an adjunct to a detailed history and physical exam to better characterize the clinical picture and

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Bladder Filling and Storage: “Continence: Stress Incontinence”ding abdominal leak point pressures (ALPPs) and urethral pressure profile (UPP) measurements are discussed. This chapter also gives instruction on how to perform an urodynamic study for SUI. Several examples of urodynamic studies that depict SUI are included for demonstration and clarification of th

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Bladder Emptying: Contractility such as detrusor underactivity, acontractile detrusor, detrusor hyperactivity and impaired contractility, and other abnormal forms of detrusor function will be discussed extensively with urodynamics tracings demonstrating each clinical scenario. Other factors that can affect bladder contractility,