Download or read book Manual of Urodynamics for Gynaecologists written by Ranee Thakar and published by Cambridge University Press. This book was released on 2020-06-25 with total page 125 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Download or read book Manual of Urodynamics written by Mayank Mohan Agarwal and published by JP Medical Ltd. This book was released on 2014-05-30 with total page 114 pages. Available in PDF, EPUB and Kindle. Book excerpt: Urodynamics is the investigation of the function of the lower urinary tract – the bladder and urethra – using physical measurements, such as urine pressure and flow rate as well as clinical assessment (netdoctor). This book is a concise guide to urodynamics (UDS) for trainee urologists. Beginning with an introduction to the anatomy and physiology of the lower urinary tract, the next section discusses clinical assessment which begins with a medical history and examination – which may reveal abnormalities within the lower abdomen or pelvis that are contributing to the lower urinary tract symptoms. The patient is then given a urination (voiding) diary to be kept for three days, to document their fluid intake and output, including episodes of incontinence (netdoctor). Each of the following chapters examines a different UDS test and its interpretation. The final sections describe representative clinical cases, and reporting on urodynamics. Key points Concise guide to urodynamics (UDS) for trainee urologists Detailed coverage of clinical assessment and different UDS tests Includes chapter on representative clinical cases Features more than 75 images and illustrations

Download or read book Urodynamics Made Easy written by Christopher R. Chapple and published by Elsevier Health Sciences. This book was released on 2009-01-01 with total page 234 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume in the Made Easy series provides a concise, user-friendly guide to the principles and practice of urodynamics as applied to the routine management of patients. It offers clear explanations presented in a visually appealing and accessible format. Volume in hugely successful Made Easy series. Excellently illustrated in full colour. Covers theory, methods and applications in clinical practice. Contents made even more clinically relevant. Includes descriptions of use of newly available refined urodynamic electronic devices.

Download or read book Pelvic Floor Re education written by Bernhard Schüssler and published by Springer Science & Business Media. This book was released on 2013-04-17 with total page 378 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pelvic Floor Re-education encompasses a variety of techniques for increasing the strength of, and control over, the pelvic floor muscles. These techniques are now emerging as an effective and viable alternative to surgery in the treatment of urinary incontinence and related conditions. This volume presents a reasoned, scientific approach to the use of pelvic floor re-education. Starting with the latest theories on anatomy, pathophysiology and possible causes of pelvic floor damage, the text then describes the importance of pelvic floor evaluation in determining the type of treatment required. A number of re-education techniques are assessed including isolated muscle exercise, vaginal cones, biofeedback control and electrical stimulation. Recent research work is also reviewed which allows the reader to evaluate the different modalities advocated in the management of pelvic floor dysfunction.

Download or read book Pelvic Organ Dysfunction in Neurological Disease written by Clare J. Fowler and published by Cambridge University Press. This book was released on 2010-11-04 with total page 358 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pelvic Organ Dysfunction in Neurological Disease describes the neurological control of human bladder, bowel and sexual function and then details the dysfunctions which may arise as a consequence of various neurological diseases. Easy to read, the book will be of value to any healthcare professional managing patients in whom pelvic organ functions have been compromised by neurological disease. The book provides a structured approach to present day understanding of the neurological control of pelvic organs and the investigation and management of each type of organ dysfunction. A unique feature of this book is that it addresses the impact of specific neurological disorders on all three functions. The authors have all been associated with the Department of Uro-Neurology at the National Hospital for Neurology and Neurosurgery, London since it was established 20 years ago. This book is a timely review of their accumulated knowledge and the latest literature.

Download or read book Urogynecology Evidence Based Clinical Practice written by Kate Moore and published by Springer Science & Business Media. This book was released on 2006-12-26 with total page 188 pages. Available in PDF, EPUB and Kindle. Book excerpt: With rising prevalence of urinary incontinence and prolapse in aging population in the Western world there is an increasing need for knowledge about this subject. This handy pocketbook summarizes the practical patient management, based upon the available evidence and author’s own clinical experience, and indicates controversial areas where we have insufficient evidence. All about urinary incontinence, prolapse and fecal incontinence - the only small book that does all three. Aimed at general practitioners and junior gynecology trainees, it will also be useful for consultant gynecologists with no previous formal urogynecological training.

Download or read book 100 Cases in Obstetrics and Gynaecology written by Cecilia Bottomley and published by CRC Press. This book was released on 2008-01-25 with total page 282 pages. Available in PDF, EPUB and Kindle. Book excerpt: A 24-year-old woman is referred from the emergency department with sudden onset of left iliac fossa pain and you are the medic on duty...100 Cases in Obstetrics and Gynaecology presents 100 commonly seen obstetric and gynaecological scenarios. The patient's history, examination and initial investigations are presented along with questions on the di

Download or read book Gynaecology by Ten Teachers written by Louise C Kenny and published by CRC Press. This book was released on 2017-05-08 with total page 541 pages. Available in PDF, EPUB and Kindle. Book excerpt: First published in 1919 as 'Diseases of Women', Gynaecology by Ten Teachers is well established as a concise, yet comprehensive, guide. The twentieth edition has been thoroughly updated by a new team of 'teachers', integrating clinical material with the latest scientific developments that underpin patient care. Each chapter is highly structured, with learning objectives, definitions, aetiology, clinical features, investigations, treatments, case histories and key point summaries and additional reading where appropriate. New themes for this edition include 'professionalism' and 'global health' and information specific to both areas is threaded throughout the text.

Download or read book Urodynamics Illustrated written by Ranee Thakar and published by Cambridge University Press. This book was released on 2011-10-01 with total page 197 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a practical guide for anyone performing or training to perform urodynamic studies. Details on how to set up urodynamic equipment and perform individual urodynamic techniques are discussed, ranging from basic tests such as uroflowmetry and subtracted cystometry through to the more complex videocystometry, ambulatory monitoring and urethral function tests. Many of the chapters include case studies to place the investigations within the context of a symptom complex. This book has a place in every urodynamics laboratory as an easy reference guide and is an essential illustrative text for teaching the fundamentals of good urodynamic practice.

Download or read book Basic Practical Skills in Obstetrics and Gynaecology written by Royal College of Obstetricians and Gynaecologists and published by Royal College of Obstetricians and Gynaecologists. This book was released on 2010-06-01 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This handbook has been designed to introduce trainees to safe surgical techniques and obstetric skills in a structured workshop environment. It is the course manual for the Basic Practical Skills in Obstetrics and Gynaecology course offered under the aegis of the Royal College of Obstetricians and Gynaecologists. The manual consists of three modules covering: basic open general surgical techniques (such as instrument handling, suturing and knot tying), basic obstetric skills (such as pelvic anatomy, instrumental delivery and shoulder dystocia), and basic gynaecological procedures, including hysteroscopy and laparoscopy. The course and the manual provide a valuable early step towards building safe and sound surgical and obstetric skills, giving trainees a firm foundation for their future careers in obstetrics and gynaecology.

Download or read book ABC of Urology written by Chris Dawson and published by John Wiley & Sons. This book was released on 2009-04-08 with total page 65 pages. Available in PDF, EPUB and Kindle. Book excerpt: Urological problems encompass a wide range of both distressing andpotentially life threatening conditions and the number of generalpractice presentations is growing rapidly due to the increasing ageof the population. Both reliable and comprehensive, the secondedition of the ABC of Urology provides a thoroughly updatedand revised guide to the speciality which highlights the recentadvances in this area. Concentrating specifically on the treatmentand diagnosis of the most common conditions, the emphasis is onshared care, where the skills of the primary care team are used inconjunction with hospital referral. This concise, well-illustrated and highly practical text willprovide the perfect reference for general practitioners andpractice nurses, as well as junior doctors handling hospitalreferrals.

Download or read book Urodynamics written by Paul Abrams and published by Springer Science & Business Media. This book was released on 2013-04-17 with total page 341 pages. Available in PDF, EPUB and Kindle. Book excerpt: This brand new edition describes in detail the tests involved in urodynamic investigation and shows in which clinical areas these tests can help the management of patients. The authors concentrate on common clinical problems and on the presentation of symptom complexes rather than diagnosis, pointing out any limitations and possible artefacts of investigation. * The new edition takes into account the technological innovations that have taken place over the last 10 years, while retaining the original objectives of the first edition. * The subject is presented so simply that a clinician with no previous experience will learn how to use the appropriate equipment in the correct situation. * Urodynamic investigation is described in such detail that it can be accepted in its own right as a fundamental contribution to the management of many patients. After reading this book, clinicians will appreciate the value and limitations of the subject and will have obtained the necessary practical advice on which equipment to use in which situation.

Download or read book Pelvic Floor Disorders written by Giulio Santoro and published by Springer Science & Business Media. This book was released on 2010-10-27 with total page 713 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dramatic improvement in imaging techniques (3D ultrasonography, dynamic magnetic resonance) allows greater insight into the complex anatomy of the pelvic floor and its pathological modifications.Obstetrical events leading to fecal and urinary incontinence in women, the development of pelvic organ prolapse, and mechanism of voiding dysfunction and obstructed defecation can now be accurately assessed, which is fundamental for appropriate treatment decision making. This book is written for gynecologists, colorectal surgeons, urologists, radiologists, and gastroenterologists with a special interest in this field of medicine. It is also relevant to everyone who aspires to improve their understanding of the fundamental principles of pelvic floor disorders.

Download or read book Gynaecology Evidence Based Algorithms written by Jyotsna Pundir and published by Cambridge University Press. This book was released on 2016-04-21 with total page 325 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provides evidence-based guidelines in schematic flowcharts, representing a step-by-step method of solving clinical problems in gynaecology.

Download or read book Ambulatory Urology and Urogynaecology written by Abhay Rane and published by John Wiley & Sons. This book was released on 2021-01-13 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: According to the International Association for Ambulatory Surgery (IAAS), ambulatory surgery should be defined as 'an operation/procedure, excluding an office or outpatient operation/procedure, where the patient is discharged on the same working day'. The rise of ambulatory surgery has been driven by technological advances that reduce the need for overnight hospital stays, enhanced recovery programmes that advocate early mobilisation, and the need for economic efficiency. Recent experience has shown that redistributing surgical procedures from the inpatient setting to ambulatory centres can be done without impacting quality. The majority of people requiring urologic surgery are now treated as day/outpatients thus requiring a different level of care from inpatients. Ambulatory Urology and Urogynaecology is the only book that combines urology and urogynaecology focuses on outpatient management. Packed with learning points, practical hints and tips, and boasting an international group of contributing authors, this book is co-edited by world-leading pioneers in urologic and urogynaecological surgery. Ambulatory Urology and Urogynaecology is ideal for urologists, urogynaecologists and gynaecologists, as well as specialist urology nurses and surgeons. With more and outpatient procedures being performed, this book is the perfect step-by-step guide to consult time and time again.

Download or read book Abrams Urodynamics written by Marcus Drake and published by John Wiley & Sons. This book was released on 2021-03-31 with total page 640 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abrams’ Urodynamics A complete guide to urodynamic investigation in modern health care Urodynamic testing is an ever-advancing field with applications in the management of patients from across a wide range of clinical areas. Bringing together fundamental principles and cutting-edge innovations, Abrams’ Urodynamics has been designed as an all-in-one guide to Functional Urology and Urogynecology, offering direct, up-to-date instruction on how to best perform and understand urodynamic tests within the overall treatment pathway. Its chapters cover everything from everyday basic practice to advanced complex cases, and are enhanced with more than 450 helpful illustrations. Including numerous revisions and new features, this fourth edition of the book boasts: Coverage of all investigative approaches, including uroflowmetry, cystometry, video-urodynamics, and non-invasive techniques Details on the successful running of a urodynamic unit, with information on organizational issues, equipment set-up, and common problems and pitfalls Sections addressing children, women, men, the elderly, and neuropaths Extensive description of International Continence Society (ICS) Standards throughout Appendices that include ICS Standards and Fundamentals documents, ICIQ modules, and Patient Information Leaflets With its wealth of clinical tips, illustrations, new innovations, and hands-on advice, Abrams’ Urodynamics is essential reading for all those wishing to better integrate urodynamic testing into their daily practice.

Download or read book Neurogenic bladder and bowel dysfunction written by Peter Wide and published by Linköping University Electronic Press. This book was released on 2020-09-11 with total page 71 pages. Available in PDF, EPUB and Kindle. Book excerpt: Spinal dysraphism (SD) is a congenital malformation that to a varying extent, often severely, affects the life of the child and the family. Most individuals with SD suffer from neurogenic bladder and bowel dysfunction—with the risk of urinary tract infections, renal deterioration, urinary and fecal incontinence—that affects social participation and quality of life negatively. In newborns with SD, early detection of neurogenic bladder dysfunction and determination of post-void residual urine are required to determine the need of clean intermittent catheterization (CIC) and follow-up. The non-invasive method of four-hour voiding observation with provocation test (VOP) was used to evaluate bladder function in 50 newborn children with SD. Voiding patterns for the children were described and compared with those of 50 healthy newborns evaluated with VOP in an earlier study. Comparison revealed significant differences among several variables. In particular, leakage at provocation test and not voiding with a stream were common in newborns with SD but did not occur in healthy newborns. VOP is a non-invasive standardized method to determine residual urine in newborns with SD. It also adds information on voiding pattern, frequency, voiding with a stream and leakage at provocation. Findings in neonatal VOP of the same cohort of newborns with SD were then related to radiology, presence of urinary tract infections during the first year, and urodynamic findings and use of CIC at the age of one year. It was found that, in children with SD, not voiding with a stream may have a predictive value for the need of CIC at the age of one year, followed probably by lifelong CIC. Despite this, the presence of an open SD per se has stronger predictive value, and each child needs to be evaluated individually while considering a number of factors. The main value of VOP may be as a structured non-invasive screening method to uncover neurogenic bladder-sphincter dysfunction in the newborn. Studies with a larger number of subjects than the present are needed to evaluate the potential of VOP in newborns with closed spinal dysraphism in whom the neurological consequences vary. A retrospective analysis detected renal damage on DMSA scintigraphy in 5 of 41 children with SD who were followed according to a proactive national program with minimal use of surgery. Median follow-up time was 10 years. High baseline pressure was confirmed as a risk factor for renal damage. Compliance with treatment and follow-up is likely to be an important factor for renal health. Therefore, efforts to support children and their families are crucial. A questionnaire-based study of 107 children with SD (age 6–16y) in Sweden and Norway examined aspects of treatment for neurogenic bowel dysfunction focusing on incontinence, independence, general satisfaction and quality of life. It was found that transanal irrigation (TAI) and antegrade colonic enemas (ACE) are effective treatments, but are time-consuming and difficult to perform independently. The majority of children using TAI (72%) and ACE (63%) never went to the toilet alone to empty their bowels. As children achieving independence on the toilet reported higher quality of life, efforts to support independence are beneficial. Continent, self-managing children with healthy kidneys enjoy high quality of life and contribute more fully to society. Therefore, further research is required to investigate and develop existing and new technologies and methods that mitigate the problems related to SD, and to make them accessible to all children with spinal dysraphism. Under de senaste 50 åren har det skett en enastående utveckling av möjligheterna för barn som föds med ryggmärgsbråck. Tidigare har majoriteten av barn med ryggmärgsbråck avlidit redan som spädbarn men idag överlever de flesta till vuxen ålder. Utan aktiva insatser och uppföljning är dock risken för medicinska problem och allvarlig påverkan på livet mycket stor. Nu när nästan alla barn överlever ligger fokus på att också nå okad livskvalitet och självständighet för personer med ryggmärgsbråck. Nästan alla med ryggmärgsbråck måste hantera en allvarlig påverkan på blåsan och tarmen med risk för njurskador, inkontinens och förstoppning. I avhandlingens två första studier värderade vi en metod att, med minimalt obehag för barnet, bedöma blåsfunktionen. Detta för att kunna skilja ut de barn som behöver genomgå mer avancerade undersökningar och få hjälp med blåstömningen genom täta tappningar med kateter, sa kallad ren intermittent kateterisering, RIK. När vi jämförde resultatet av testet för 50 nyfödda med ryggmärgsbråck med samma undersökning av 50 friska nyfödda fann vi stora skillnader. Mest tydligt var att de flesta nyfödda med ryggmärgsbråck (69%) men inga friska nyfödda läckte urin när man tryckte över blåsan. Av nyfödda med ryggmärgsbråck kissade de flesta (74%) inte med stråle vilket alla friska nyfödda gjorde. Att inte kissa med stråle talade också starkt för att barnet skulle komma att behöva hjälp med RIK för att tomma blåsan vid ett ars ålder, och då sannolikt livet ut. Sammantaget visade avhandlingens två första arbeten att den metod för bedömning av blåsfunktion vi undersökt kan användas för att styra uppföljning och behandling av nyfödda med ryggmärgsbråck. Avhandlingens tredje studie visade att aktiv uppföljning av barnen enligt ett nationellt vårdprogram lyckades förhindra njurskador hos de flesta, men att höga tryck i urinblåsan och återkommande urinvägsinfektioner ökade risken för skador. Även familjernas förmåga att i en pressad vardag klara av att genomföra de ofta krävande behandlingar och undersökningar som rekommenderas verkade vara viktig för att förhindra njurskador. Stöttning av familjerna är därför viktig. Avhandlingens fjärde arbete berörde tarmen som nästan alltid är påverkad vid ryggmärgsbråck, med risk för svår förstoppning och avföringsläckage. Detta har påtaglig påverkan på barnen och deras familjer. En tredjedel av de 107 familjerna i vår enkätundersökning i Sverige och Norge (barn 6-16 år) beskrev att man fått avstå från aktiviteter såsom resor på grund av barnets tarmproblem och de barn som hade avföringsläckage rapporterade tydligt lägre livskvalitet än andra. Trots denna allvarliga påverkan finns det hittills inga studier som jämför de olika behandlingar som barnet kan använda. I vår enkät kartlade vi därför vilka metoder som användes och hur bra de fungerade. Vi ställde frågor till både barn och föräldrar, särskilt om avföringsläckage, hur nöjd man var med metoden, barnens livskvalitet och självständighet på toaletten. Det var utifrån svaren tydligt att båda de vanligaste typerna av tarmsköljning var effektiva men tidskrävande och svara för barn och ungdomar att klara att utföra på egen hand. Ingen metod visade sig överlägsen den andra men de barn som klarade att skota tarmtomningen själva skattade sin livskvalitet klart högre än övriga. Vi drar därför slutsatsen att det är viktigt att vårdpersonal diskuterar de olika behandlingsalternativen med barn och föräldrar, och tillsammans med dem väljer den metod som passar det enskilda barnet bäst. Då skapas bästa förutsättningar för att gemensamt arbeta vidare för att uppnå största möjliga självständighet. Självständiga individer, med friska njurar och utan urin- och avföringsinkontinens upplever högre livskvalitet och behöver mindre sjukvård och andra samhällsinsatser. Det behövs mer forskning för att utveckla existerande och nya metoder att hantera de allvarliga komplikationer som riskerar att drabba barn och vuxna med ryggmärgsbråck.