urodynamics made easy

  • Page 1

  • Title: URODYNAMICS MADE EASY, THIRD EDITION

  • Authors: Christopher R. Chapple, Scott A. MacDiarmid, Anand Patel

  • Foreword by: Philippe E. Zimmern

  • Publisher: Churchill Livingstone, Elsevier

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  • Title: Urodynamics Made Easy

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  • Editor Team: Timothy Horne (Commissioning), Ailsa Laing (Development), Hemamalini Rajendrababu (Project Manager), Erik Bigland (Designer), Kirsteen Wright (Illustrator).

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  • Author Credentials:

  • Christopher R. Chapple: Consultant Urological Surgeon, Sheffield Teaching Hospitals, Professor of Urology at Sheffield Hallam University.

  • Scott A. MacDiarmid: Director at Alliance Urology Specialists, Clinical Faculty, Department of Urology, Wake Forest University, North Carolina.

  • Anand Patel: Urology Research Fellow, Sheffield Teaching Hospitals.

  • Year Published: 2009 (Third Edition)

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  • Copyright Information: © Elsevier Limited 2000, 2009. All rights reserved.

  • ISBN: 978-0-443-06886-7

  • Publishers' Policy: Use of sustainable materials for printing.

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  • Contents Overview:

  • Preface

  • Foreword

  • Acknowledgements

  • Chapters outline (e.g., Clinical evaluation of lower urinary tract, Urodynamic procedures, Storage disorders)

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  • Preface Highlights:

  • Urodynamics is portrayed as simple and widely applicable.

  • Clarification on the misperception of complexity:

    • Theoretical physics application has limited clinical use.

    • Jargon complicates straightforward concepts.

  • Urodynamics investigates pressure and flow in the urinary tract, primarily focusing on the lower urinary tract.

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  • Foreword Highlights:

  • Emphasizes the evolution of urodynamics due to advances in technology.

  • Chapters cover urinary symptoms, techniques, and diagnostics related to different urological disorders.

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  • Acknowledgements:

  • Thanks to the International Continence Society and contributors from Sheffield Teaching Hospitals for manuscript reviews.

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Chapter 1: Clinical Evaluation of the Lower Urinary Tract

Introduction

  • The bladder and urethra function as a unit during urine storage and voiding.

  • Disturbances lead to urinary dysfunction and lower urinary tract symptoms (LUTS).

Assessment

  • Focus on a comprehensive history, physical examination, laboratory tests, and urodynamic studies for discovering functional information.

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Urodynamic Evaluation

  • Strategies to evaluate bladder and urinary tract function and identify issues such as incontinence and obstruction.

Common Urodynamic Tests

  • Frequency/volume chart, bladder diary, pad testing, uroflowmetry, etc.

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Terminology: Lower Urinary Tract Symptoms

  • Classified into storage, voiding, and post-micturition symptoms.

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Chapter 2: Basic Structure, Function, and Control of the Lower Urinary Tract

Introduction

  • Comprising the upper (kidneys, ureters) and lower tract (bladder, urethra).

Urethra and Sphincteric Mechanisms

  • Functions for continence and voiding during micturition.

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Chapter 3: Urodynamic Procedures

Introduction

  • Urodynamics evaluate bladder function and clarify symptoms.

Indications for Urodynamic Assessments

  • Patients requiring precise tests based on clinical history.

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Chapter 4: Pressure/Flow Cystometry

Introduction

  • Discusses assessment techniques focusing on bladder pressure during filling and voiding phases.

Techniques Overview

  • Simple cystometry, subtraction cystometry, and video urodynamics.

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Chapter 5: Storage Disorders and Incontinence

Introduction

  • Discusses storage disorders' prevalence, particularly in older women.

Overactive Bladder Syndrome

  • Management includes anticholinergic therapy and behavioral strategies.

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Chapter 6: Voiding Disorders and Bladder Outlet Obstruction

Introduction

  • Describes common causes of voiding difficulty in men and women, and related management protocols.

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Chapter 7: Sensory Disorders

Introduction

  • Explains the importance of sensory function in the context of urodynamic evaluations.

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Chapter 8: The Contracted Bladder

Introduction

  • Discusses management of chronic inflammation leading to bladder contractures.

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Chapter 9: Neurogenic Bladder Disorders

Introduction

  • Explains how neurological conditions affect bladder function, necessitating specialized evaluations.

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Chapter 10: Paediatric Urodynamics

Overview

  • Describes the unique considerations for diagnostic assessments in children.

Appendix 1: Scheme for Performing a Pressure/Flow Study

  • A structured approach to conducting urodynamics ensuring systematic evaluation and relevant data.

Appendix 2: Normal Urodynamic Values

  • Reference ranges for various urodynamic parameters to contextualize patient results.

Appendix 4: Bibliography

  • Recommended readings for further detail on urodynamic evaluations and management.