Interpretation of Urodynamic Studies

A Case Study-Based Guide

Seung-June Oh (Autor)

Buch | Hardcover

844 Seiten

2018 | 1st ed. 2018
Springer Verlag, Singapore
978-981-10-2283-8 (ISBN)

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This book is a comprehensive guide to lower urinary tract dysfunction that draws extensively on actual urodynamic traces and patient cases to ensure that the imparted knowledge will be readily transferable to clinical practice. The impressive collection of clinical cases is used to illustrate basic concepts of lower urinary tract function and to document urodynamic findings and typical patterns in a wide range of commonly encountered conditions. In addition, attention is drawn to frequent pitfalls and artifacts. Readers will be able to assess their skill in reaching the correct diagnostic conclusion in each case, as in addition to the urodynamic trace a full set of information is provided on aspects such as patient history, physical examination, voiding diary, laboratory examination, imaging studies, and cystourethroscopy, thereby directly simulating real-life clinical practice. The presented cases are drawn from the large clinical database that Professor Seung-June Oh has prospectively accumulated during the past 16 years of clinical practice. The book will be invaluable for residents and other practitioners and will also be of interest for medical students.

Seung-June Oh, MDDepartment of Urology, Seoul National University College of Medicine, Seoul National University Hospital

Section 1: Brief introduction on the neurophysiology.- Section 2: Diagnostic process and normal urodynamic study (UDS) findings.- 1. Uroflowmetry.- 2. Urethral pressure profile.- 3. Urethral sphincter electromyography (EMG).- 4. Filling cystometry.- 5. Voiding cystometry.- 6. Leak point pressure (LPP).- 7. Fluoroscopy.- 8. Conventional UDS vs Ambulatory UDS.- 9. Flow-EMG.- Section 3: Abnormal UDS findings.- 1. Pattern of uroflowmetry (UFM).- 2. Bladder sensation.- 3. Involuntary detrusor contraction.- 4. Underactive/acontractile detrusor.- 5. Bladder compliance.- 6. Bladder capacity.- 7. Incompetent urethral closure.- 8. Urodynamic stress urinary incontinence (SUI).- 9. Bladder outlet obstruction.- 10. ectal contraction.- 15. Fluoroscopic abnormalities.- Section 4: Pitfalls and artifacts in UDS.- 1. Artifact caused by hardware.- 2. Artifact caused by performing technique.- 3. Artifact caused by the interpretation.- Section 5: Typical Patterns.- 5-1. Urological conditions.- 1. OAB.- 2. SUI.- 3. BPH.- 4. Primary BN obstruction.- 5. female BOO.- 6. IC.- 7. Dysfunctional voiding .- 8. Pelvic organ prolapse.- 9. Urinary retention.- 10. Post-prostatectomy: with bladder change.- 11. Post-reconstruction.- 5-2. Brain lesions.- 1. CVA.- 2. Parkinson’s ds.- 3. MSA.- 4. Cerebella lesion.- 5. Dementia/Alzheimer.- 6. Schizophrenia.- 7. Cerebral palsy.- 8. Brain tumor surgery/injury Head trauma.- 9. Hydrocephalus.- 5-3. Spinal cord lesions: according to level of injury.- 1. Spinal cord injury/spinal cord tumor/surgery.- 2. MS.- 3. myelodysplasia.- 4. HIVD/ spinal stenosis.- 5-4. Peripheral lesions miscellaneous lesions.- 1. Radical rectal surgery /Radical hysterectomy.- 2. RT history.- 3. DM.- 4. Others (incl. neuro-Behcet’s, SLE).- Section 6. Case Studies of Mixed Lesions for Practical Exercise.- 1. HIV infection.- 2. Herpes.- 3. Habitual -acquired voiding dysfunction.- 4. BPH+PK ds.- 5. BPH+OAB.- 6. BPH+DM.

Erscheinungsdatum	27.10.2017
Zusatzinfo	511 Illustrations, color; 181 Illustrations, black and white; XXXVIII, 844 p. 692 illus., 511 illus. in color.
Verlagsort	Singapore
Sprache	englisch
Maße	178 x 254 mm
Themenwelt	Medizin / Pharmazie ► Medizinische Fachgebiete ► Urologie
Themenwelt	Medizin / Pharmazie ► Studium
Schlagworte	cystourethroscopy • diagnostic test • Imaging Studies • urodynamics • Urology
ISBN-10	981-10-2283-6 / 9811022836
ISBN-13	978-981-10-2283-8 / 9789811022838
Zustand	Neuware