By Jerry Blaivas, Michael B. Chancellor, Jeffrey Weiss, Michael Verhaaren(auth.)
By means of pairing the best quality pictures with succinct textual content, this totally revised atlas explains tools of analysis, review and treatment
- Detailing how one can arrange a urodynamic laboratory and discusses gear and person urodynamic techniques
- Illustrating neurologic stipulations, taking a look at the detailed difficulties of pediatric and geriatric patients
- With particular, rigorously reproduced urodynamic tracings and scans express you what to anticipate within the lab
- The very popular writer crew is led by way of Dr. Jerry Blaivas, a well-known specialist within the box who acquired the Lifetime fulfillment Award from the Society for Urodynamics and feminine Urology.
Chapter 1 Pre?Urodynamic evaluate (pages 1–10):
Chapter 2 general Micturition (pages 11–21):
Chapter three Cystometry (pages 22–36):
Chapter four Uroflowmetry (pages 37–45):
Chapter five Leak element strain (pages 46–55):
Chapter 6 Low Bladder Compliance (pages 56–61):
Chapter 7 Videourodynamics (pages 62–68):
Chapter eight Pitfalls in Interpretation of Urodynamic reviews (pages 69–82):
Chapter nine Overactive Bladder (pages 83–95):
Chapter 10 Benign Prostatic Hyperplasia, Bladder Neck Obstruction, and Prostatitis (pages 96–119):
Chapter eleven Bladder Outlet Obstruction and Impaired Detrusor Contractility in girls (pages 120–144):
Chapter 12 Neurogenic Bladder: The impression of Neurologic Lesions on Micturition (pages 145–151):
Chapter thirteen Cerebral Vascular coincidence, Parkinson's illness and different Supra Spinal Neurologic issues (pages 152–165):
Chapter 14 Spinal wire damage, a number of Sclerosis, and Diabetes Mellitus (pages 166–183):
Chapter 15 pressure Incontinence in ladies (pages 184–196):
Chapter sixteen Genital Prolapse (pages 197–211):
Chapter 17 Sphincteric Incontinence in males and different problems of Prostate melanoma remedy (pages 212–226):
Chapter 18 Enterocystoplasty and Neobladder (pages 227–234):
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Extra info for Atlas of Urodynamics, Second Edition
7). The lower the urethral resistance for any given level of bladder compliance, the lower the DLPP and vice versa. In these circumstances, the sphincteric incontinence can be considered a “pop off valve” to protect the upper urinary tract at the expense of causing sphincteric incontinence. DLPPs Ͼ40cmH2O have been shown to cause hydronephrosis or vesicoureteral reflux [1,6]. Suggested Reading 1 McGuire EJ, Woodside JR, Borden TA, Weiss RM. Prognostic value of urodynamic testing in myelodysplastic patients, J Urol, 126: 205–209, 1981.
PW (B) 51 ATLAS O F U RO D YNA MIC S 50 (Radiologic) VLPP Flow (Visual) VLPP 0 100 Pves 0 100 Pabd 0 100 Pdet LL 0 (A) (B) (C) Fig. 5 Disparity between radiologic and visual VLPP. This is a 63-year-old woman. Her chief complaint is urinary incontinence “it’s gotten worse. if I play tennis and hit a ball, I leak. I’m constantly looking for a bathroom. I’m constantly getting an urge. ). (A) Urodynamic tracing. During bladder filling she was repeatedly asked to cough and valsalva, but there was no visual leakage from the meatus until a bladder volume of 200ml and a VLPP ϭ 75 cmH2O.
It is expressed in ml/s. Uroflow is described in terms of its pattern and rate. The pattern may be continuous or intermittent. The continuous flow curve is one in which the entire micturition is completed when the flow rate drops to zero for the first time after the onset of flow. The pattern is further described as a smooth arc shaped curve (Fig. 1) or fluctuating when there are multiple peaks during a period of continuous urine flow (Fig. 2). An interrupted flow 37 ATLAS O F U RO D YNA MIC S is one in which two or more curves fall to zero flow before the end of micturition (Fig.