Inhoudsopgave:

Preface		v
List of Abbreviations		vii
Chapter 1 Principles of Urodynamics		1	(6)
The Urodynamic History		2	(1)
The Urodynamic Physical Examination		3	(1)
The Aims of Urodynamics		3	(3)
References		6	(1)
Chapter 2 Anatomy and Physiology		7	(10)
Introduction		7	(1)
Urethral Structure and Function		7	(7)
Detrusor Function		14	(1)
References		15	(2)
Chapter 3 Urodynamic Techniques		17	(100)
Introduction		17	(3)
Uroflowmetry		20	(19)
Cystometry		39	(49)
Complex Urodynamic Investigations		88	(26)
References		114	(3)
Chapter 4 Patient Assessment		117	(30)
Introduction		117	(1)
Frequency-Volume Charts		118	(5)
Analysis of Symptoms		123	(14)
Medical History		137	(1)
Drug Therapy		138	(2)
General Patient Assessment		140	(1)
Physical Examination		140	(3)
Investigations		143	(2)
References		145	(2)
Chapter 5 Urodynamics in Clinical Practice		147	(24)
Introduction		147	(1)
Urodynamics in Children		148	(4)
Urodynamics in Women		152	(7)
Urodynamics in Men		159	(7)
Urodynamics in the Elderly		166	(1)
Urodynamics in the Neurological Patient		166	(3)
References		169	(2)
Chapter 6 Management of Lower Urinary Tract Dysfunction		171	(14)
Storage Phase Problems		171	(9)
Management of Voiding Problems		180	(3)
Management of Post-Micturition Symptoms		183	(1)
References		184	(1)
Chapter 7 Organisation of the Urodynamic Unit		185	(12)
Patient Referral		185	(1)
Making the Patient`s Appointment		186	(1)
The Patient`s Hospital Attendance		186	(3)
Planning a New Urodynamic Service		189	(6)
Summary of Equipment Needs		195	(2)
Appendix 1, Part 1 List of ICS Standardisation Committee Reports 1973 to 2002		197	(2)
Appendix 1, Part 2 The Standardisation of Terminology of Female Pelvic Organ Prolapse and Pelvic Floor Dysfunction		199	(14)
Condensation		200	(1)
1. Introduction		200	(1)
2. Description of Pelvic Organ Prolapse		200	(6)
2.1. Conditions of the Examination.		201	(1)
2.2. Quantitative Description of Pelvic Organ Position		201	(4)
2.2.1. Definition of Anatomic Landmarks		201	(2)
2.2.2. Making and Recording Measurements.		203	(2)
2.3. Ordinal Stages of Pelvic Organ Prolapse		205	(1)
3. Ancillary Techniques for Describing Pelvic Organ Prolapse		206	(2)
3.1. Supplementary Physical Examination Techniques		206	(1)
3.2. Endoscopy		207	(1)
3.3. Photography		207	(1)
3.4. Imaging Procedures		207	(1)
3.4.1. General Guidelines for Imaging Procedures		207	(1)
3.4.2. Ultrasonography		208	(1)
3.4.3. Contrast Radiography		208	(1)
3.4.4. Computed Tomography and Magnetic Resonance Imaging		208	(1)
3.5. Surgical Assessment		208	(1)
4. Pelvic Floor Muscle Testing		208	(2)
4.1. Inspection		209	(1)
4.2. Palpation		209	(1)
4.3. Electromyography		209	(1)
4.4. Pressure Recording		210	(1)
5. Description of Functional Symptoms		210	(1)
5.1. Urinary Symptoms		210	(1)
5.2. Bowel Symptoms		211	(1)
5.3. Sexual Symptoms		211	(1)
5.4. Other Local Symptoms		211	(1)
Acknowledgements		211	(1)
References		212	(1)
Appendix 1, Part 3 The Standardisation of Terminology of Lower Urinary Tract Function: Pressure-Flow Studies of Voiding, Urethral Resistance and Urethral Obstruction		213	(19)
1. Introduction		214	(1)
2. Evaluation of Micturition		214	(7)
2.1. Pressure-Flow Studies		214	(3)
2.1.1. Pressure and Flow Rate Parameters		214	(2)
2.1.2. Flow Delay		216	(1)
2.1.3. Presentation of Results		216	(1)
2.2. Urethral Resistance and Bladder Outlet Obstruction		217	(3)
2.2.1. Urethral Function During Voiding		217	(1)
2.2.2. Urethral Resistance		217	(1)
2.2.3. Urethral Activity		217	(1)
2.2.4. Bladder Outlet Obstruction.		218	(1)
2.2.5. Methods of Analysing Pressure-Flow Plots		218	(2)
2.3. The Detrusor During Micturition		220	(1)
3. Additional Symbols		221	(1)
References		221	(1)
Appendix: ICS Standard for Digital Exchange of Pressure-Flow Study Data		222	(10)
A1. Introduction		222	(1)
A2. General Description of Signal Storage		222	(1)
A3. Variable Values and Types		223	(1)
A4. General Structure of File and Records		223	(1)
A5. Definitions of Record Types		223	(6)
A6. Signals and Information to be Stored: Minimal Specification and Optional Extensions.		229	(1)
A7. Typical File Structure		230	(1)
A8. Acknowledgements		231	(1)
A9. Addendum: Signal IDs		231	(1)
Appendix 1, Part 4 Standardisation of Ambulatory Urodynamic Monitoring		232	(14)
1. Introduction		233	(1)
2. Indications for AUM		233	(1)
3. Terminology		233	(1)
3.1. Definitions		233	(1)
4. Methodology		234	(3)
4.1. Signals		234	(1)
4.2. Signal Quality		234	(1)
4.3. Intravesical and Abdominal Pressure Measurement		234	(2)
4.4. Urethral Pressure and Conductance		236	(1)
4.5. Catheter Fixation		236	(1)
4.6. Instructions to the Patient		237	(1)
5. Analysis		237	(1)
5.1. Quality Assessment		237	(1)
5.2. Phase Identification		237	(1)
5.3. Events		238	(1)
6. Clinical Report		238	(1)
7. Scientific Presentation		238	(1)
8. Explanatory Examples		239	(6)
References		245	(1)
Appendix 1, Part 5 The Standardisation of Terminology in Lower Urinary Tract Function		246	(21)
1. Lower Urinary Tract Symptoms (LUTS)		247	(5)
2. Signs Suggestive of Lower Urinary Tract Dysfunction (LUTD)		252	(3)
3. Urodynamic Observations and Conditions		255	(8)
4. Conditions		263	(1)
5. Treatment		263	(2)
References		265	(2)
Appendix 1, Part 6 Good Urodynamic Practices: Uroflowmetry, Filling Cystometry and Pressure-Flow Studies		267	(22)
Introduction		268	(1)
Recording Micturitions and Symptoms		268	(1)
Uroflowmetry		269	(4)
Invasive Urodynamics: Filling Cystometry, Pressure-flow Study of Voiding		273	(14)
Strategy for Repetition of Urodynamic Tests		287	(1)
Conclusions		287	(1)
Acknowledgements		288	(1)
References		288	(1)
Appendix 1, Part 7 The Standardisation of Terminology in Nocturia		289	(8)
1. Introduction		290	(1)
2. Clinical Assessment		290	(5)
2.1. Nocturia		291	(1)
2.2. Night		292	(1)
2.3. Screen		292	(1)
2.4. Advice		293	(1)
2.5. Further Evaluation		293	(1)
2.6. Polyuria		293	(1)
2.7. Nocturnal Polyuria		293	(1)
2.8. Bladder Storage Problems		294	(1)
References		295	(2)
Appendix 2, Part 1 Frequency-Volume Chart		297	(1)
Appendix 2, Part 2 Patient Information Sheet		298	(3)
Appendix 3, Part 1 Urodynamics Data Sheet: Full Version		301	(17)
Appendix 3, Part 2 Urodynamics Data Sheet: Shortened Version		318	(5)
Appendix 4, Part 1 ICIQ Modular Questionnaire		323	(7)
Appendix 4, Part 2 ICIQ UISF (Urinary Incontinence Short Form)		330	(3)
Index		333

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