The Normal Study
Bladder sensation during filling cystometry Definition Suggested normal range (ml) First sensation of bladder filling Sensation when the patient first becomes aware of the bladder filling 170–200 First desire to…
Special Considerations in the Pediatric Patient
Qmax Age (5–10 years) (mL/s) Age (11–15 years) (mL/s) Boys 15.2 ± 4.5 22.5 ± 7.2 Girls 17.9 ± 6.0 27.1 ± 9.3 Using Fluoroscopy in Children During a UDS Study Ionizing radiation exposure has potentially lifelong effects,…
Optimizing the Study
• Running water: either by physically turning a tap on in the room producing an audible sound in the sink or playing a recording of a similar sound • Hand warming and…
Physician Coding and Reimbursement for Urodynamics
There are two different practice expense (PE) RVUs for every CPT code because reimbursement depends on whether or not the physician performed the service in a free-standing outpatient clinic or…
Special Considerations in the Neurogenic Patient
Upper urinary tract preservation or improvement Absence or control of infection Low storage pressures with adequate bladder capacity Low voiding pressures with adequate emptying ability if not performing intermittent cath…
Bladder Filling and Storage: “(Coarse) Sensation”
Normal bladder sensation Can be judged by three defined points noted during filling cystometry and evaluated in relation to the bladder volume at that moment and in relation to the…
The 9 “C’s” of Pressure-Flow Urodynamics
Filling and storage Contractions (involuntary detrusor) Compliance Coarse sensation Continence Cystometric capacity Emptying Contractility Complete emptying Coordination Clinical obstruction The “C’s” are not specific for all types of urinary dysfunction…
Urodynamics Equipment: Selection and Training
Company Headquarters Laborie Canada Cooper Surgical United States SRS Medical Systems United States Dantec United Kingdom Mediwatch United Kingdom Albyn Medical United Kingdom, Spain Medical Measurement Systems [MMS] United States,…
Conducting the Urodynamic Study
Urodynamics Questions to ask Pretest Q1. Does the patient need this test? Q2. What questions do I need to answer? Q3. How should the test be designed to answer the…
Male Infertility Microsurgical Training
Fig. 1.1 Zeiss OPMI/S3/S4 Surgical Microscope Systems (a, b) with motorized zoom and focus and Zeiss OPMI-1 binocular diploscope (c) with manually controlled zoom and focus are used for male…
