Rapid and Practical Interpretation of Urodynamics

Eric S. Rovner, MDProfessor of Urology, Medical University of South Carolina, Department of Urology, Director, Section of Female Urology, Neurourology and Urodynamics, Charleston, SC, USAMichelle E. Koski, MDKaiser Permanente Southern California, Department of Urology, San Marcos, CA, USA

• Urodynamic Studies: Types and Indications.- The 9 “C’s” of Pressure-Flow Urodynamics.- Urodynamics Equipment: Selection and Training.- Physician Coding and Reimbursement for Urodynamics.- Conducting the urodynamic study.- Artifact recognition and solutions in urodynamics.- Optimizing the study.- Special Considerations in the Pediatric Patient.- Special Considerations in the Neurogenic Patient.- The Normal Study.- Bladder Filling and Storage: “Capacity”.- Bladder Filling and Storage: “Compliance”.- Bladder Filling and Storage: “(Coarse) Sensation”.- Bladder Filling and Storage: (Involuntary) Contractions.- Bladder Filling and Storage: “Continence:  Stress Incontinence”.- Bladder Emptying: Contractility.- Bladder Emptying: Coordination of bladder and sphincters.- Bladder Emptying: Complete Emptying.- Bladder Emptying:  Clinical Bladder Outlet Obstruction.- Test Tracings: The Final Exam.- Appendix: Differential Diagnosis and Pattern Recognition: Causes of commonly encountered patterns on PFUD tracings.