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Titolo: | Abrams' urodynamics / / edited by Marcus Drake, Hashim Hashim, Andrew Gammie |
Pubblicazione: | Hoboken, New Jersey ; ; Chichester, West Sussex, England : , : Wiley-Blackwell, , [2021] |
©2021 | |
Edizione: | Fourth edition. |
Descrizione fisica: | 1 online resource (641 pages) : illustrations |
Disciplina: | 616.6 |
Soggetto topico: | Urodynamics |
Persona (resp. second.): | DrakeMarcus |
HashimHashim | |
GammieAndrew <1964-> | |
Nota di bibliografia: | Includes bibliographical references and index. |
Nota di contenuto: | Cover -- Title Page -- Copyright Page -- Contents -- Abbreviations -- Contributors -- Preface -- First Foreword -- Second Foreword -- Part I Basic Principles -- Chapter 1 Basic Urodynamics and Fundamental Issues -- Introduction to Urodynamics -- Basics of Urodynamics -- Fundamentals -- A Brief History of Urodynamics -- Summary -- References -- Chapter 2 Applied Anatomy and Physiology -- Introduction -- Upper Urinary Tract -- The Urinary Bladder -- The Male Urethra -- The Female Urethra -- The Pelvis -- Nervous System Control of the Lower Urinary Tract -- References -- Chapter 3 The Physics of Urodynamic Measurements -- Measurement of Pressure -- Measuring Pressure in Urodynamics -- Measuring Pressure Correctly -- Setting Zero (Reference) Pressure and Calibrating -- Measuring Infused Volume -- Measuring Flow Rate -- References -- Part II Functional Urology -- Chapter 4 Patient Assessment -- Patient-Reported Outcome Questionnaires -- FVCs and Bladder Diaries -- Medical History -- Physical Examination -- Other Investigations -- References -- Chapter 5 Treatments for Lower Urinary Tract Dysfunction -- Storage Phase Problems -- Voiding Problems -- Post-Micturition Symptoms -- References -- Part III Urodynamic Techniques -- Chapter 6 Uroflowmetry -- How to Do the Test -- Reporting a Test Result -- Interpretation -- Equipment -- Summary -- References -- Chapter 7 Cystometry and Pressure-Flow Studies -- Principles of Cystometry -- Technique of Filling Cystometry -- Voiding Cystometry -- Pressure-Flow Studies -- Electromyography -- References -- Chapter 8 Video Urodynamics -- Anatomical and Physiological Observations During VUDS -- Roles of VUDS in Men -- Roles of VUDS in Women -- VUDS in People with Neurological Disease and Children -- Renal Failure and Transplant Patients -- Whitaker Testing -- Using VUDS to Understand Limitations of Pressure Recording. |
Equipment Needed -- Considerations when Using X-rays -- Performing the Test -- Advantages and Disadvantages of VUDS -- Alternatives to VUDS -- References -- Chapter 9 Ambulatory Urodynamics -- Indications for AUDS -- Technique of AUDS -- Analysis -- References -- Chapter 10 Studies Assessing Urethral Pressures -- Static Urethral Pressure Profilometry -- Interpreting the UPP -- The 'Stress' Urethral Profile -- Urethral Leak Point Pressure Measurement -- Indications for Urethral Function Testing -- References -- Chapter 11 Non-invasive Urodynamics -- Introduction -- Non-invasive Urodynamic Techniques -- The Penile Cuff Test -- Practicalities of the Penile Cuff Test -- Current Standing -- References -- Part IV Urodynamics in Clinical Practice -- Chapter 12 Urodynamics in Children -- Children with Neurological Disorders -- Children with Non-neurological Disorders -- Practical Aspects of Urodynamic Studies -- Summary and Recommendations -- References -- Chapter 13 Urodynamics in Women -- Stress Urinary Incontinence -- Overactive Bladder -- Urethral Relaxation Incontinence -- Mixed Urinary Incontinence -- Mixed Incontinence (Urinary and Faecal 'Double' Incontinence) -- Situational Incontinence -- Coital/Orgasm Leakage and Giggle Incontinence -- BOO and Detrusor Underactivity (DUA) -- Urinary Infections and Inflammation -- Conclusions -- References -- Chapter 14 Urodynamics in Men -- Men with LUTS -- Post-Prostatectomy Symptoms -- Special Situations -- References -- Chapter 15 Structural Changes of the Bladder Outlet -- Impaired Blood Supply to the Bladder Outlet -- Trauma -- Hypospadias -- Surgical Mesh -- Gender Confirmation Surgery -- References -- Chapter 16 Neurological Disease and LUTS -- Impaired Neurological Control of the Lower Urinary Tract: General Principles -- Understanding the Neurological Situations -- Life-Threatening Issues in NLUTD. | |
Assessment of LUTS in Neurological Disease -- Urodynamic Observations -- Urodynamic Technique in the Neurogenic Patient -- NLUTD Treatment -- Specific Neurological Diseases -- Assisting Neurology and Neurosurgery Teams in Defining the Neurological Lesion -- References -- Chapter 17 Urodynamics in Older People -- Understanding and Evaluating Frailty -- The Management Pathway in Older People -- Patterns of LUTS in Older People -- Therapy Decisions -- References -- Part V Running a Urodynamics Unit -- Chapter 18 Troubleshooting During Urodynamics -- Uroflowmetry -- Filling Cystometry -- Pressure-Flow Studies -- Conclusions -- References -- Chapter 19 Artefacts in Urodynamics -- Artefacts During Flow -- Artefacts During Filling Cystometry -- Artefacts During Pressure-Flow Studies -- References -- Chapter 20 Anorectal Physiology -- Anorectal Physiology -- Conservative Treatment -- Management of Colorectal Pelvic Floor Patients -- Faecal Incontinence -- Psychological Distress and Quality of Life -- Future Direction of Colorectal Pelvic Floor Surgery -- References -- Chapter 21 Organisation of the Urodynamic Unit -- Patient Referral -- The Patient's Hospital Attendance -- Planning a New Urodynamic Service -- Reference -- Chapter 22 Equipment -- Maintenance Routines and Regular Checks -- Procurement -- Reference -- Chapter 23 Working with Limited Resources -- Clinical Issues -- Equipment -- Maintenance Requirements -- Teaching -- Chapter 24 Research Evidence on the Clinical Role of Urodynamics -- References -- Appendix A Key Patient Assessment Metrics from the International Consultation on Incontinence Questionnaires (ICIQ) -- ICIQ-FLUTS -- ICIQ-MLUTS -- ICIQ-BD -- Appendix B Fundamentals Documents from the International Continence Society -- N& -- U 2018 Volume 37 Supplement 6. | |
Appendix C Patient Information Leaflets from the Bristol Urological Institute -- Appendix D Practice, Standards, and Equipment Recommendations -- International Consultation on Incontinence 2016 -- Executive Summary: Urodynamic Testing -- United Kingdom Continence Society: Minimum standards for Urodynamic Studies, 2018 -- UK Centre for Evidence Based Purchasing -- Buyers' Guide Urodynamics Systems -- Good Urodynamic Practices Documents from the International Continence Society -- Index -- EULA. | |
Sommario/riassunto: | "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"-- |
Titolo autorizzato: | Abrams' urodynamics |
ISBN: | 1-118-84473-4 |
1-118-84472-6 | |
1-119-24595-8 | |
Formato: | Materiale a stampa |
Livello bibliografico | Monografia |
Lingua di pubblicazione: | Inglese |
Record Nr.: | 9910829871603321 |
Lo trovi qui: | Univ. Federico II |
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