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This manual is a concise, straightforward guide for learning how to perform high-quality urodynamic investigations. Experienced editors and contributors provide easy-to-follow practical information on pre-test assessment of urodynamic function, how to set up urodynamic equipment, and how to perform individual urodynamic techniques, including cystometry, videocystourethrography and ambulatory monitoring. The book covers modern equipment and its use, and outlines the new national standards in urodynamics, allowing readers to check their knowledge and standard operating procedures are adequate. It also gives valuable information on how to set up and run a urodynamics service. With clear illustrations and clinical case studies woven into the text, this is a must-have resource to facilitate training in urodynamics. It is also a refresher of the standards and protocols required for good urodynamic practice for gynaecologists and continence nurses.
Ambulatory urodynamic monitoring (AUM), using micro-tip pressure transducers and a digital solid-state recorder, is a useful additional test for women in whom conventional urodynamics fails to reproduce or explain the lower urinary tract symptoms of which they complain. This system allows information to be recorded digitally, downloaded and reviewed at the end of the test. AUM is performed in accordance with the International Continence Society (ICS) Standardisation of Ambulatory Urodynamic Monitoring. The care and observation of a patient undergoing AUM is as important in the diagnosis as the objective measurements and neither should be carried out in isolation. Checks on signal quality are highly important at the start, during the test and again before the test terminates. AUM has a role in monitoring voiding function. It allows women to pass urine in a flowmeter in a private setting as and when they desire.
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