Bladder Emptying: Coordination of Bladder and Sphincters

Jun 20, 2017 by in UROLOGY Comments Off on Bladder Emptying: Coordination of Bladder and Sphincters

Fig. 17.1 Normal voiding pattern Notice in Fig. 17.1, as bladder filling occurs EMG activity increases (increased somatic innervation to external sphincter) at the line annotated as “strong desire.” Once…

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Bladder Emptying: Contractility

Jun 20, 2017 by in UROLOGY Comments Off on Bladder Emptying: Contractility

where V t = volume of noncontracting bladder wall tissue [7]. Although some studies report WF and WFmax, no consensus has been made regarding normative values particularly in female patients [6, 8,…

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Urodynamic Studies: Types and Indications

Jun 20, 2017 by in UROLOGY Comments Off on Urodynamic Studies: Types and Indications

Fig. 1.1 Three examples of uroflow patterns: (a) Normal bell-shaped. (b) Obstructive pattern. (c) Straining pattern It is helpful to obtain a PVR after completion of uroflowmetry in order to…

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Artifact Recognition and Solutions in Urodynamics

Jun 20, 2017 by in UROLOGY Comments Off on Artifact Recognition and Solutions in Urodynamics

Fig. 6.1 Top: Water charged catheter with appropriate orientation of catheter. Lumen transmits pressure to the transducer. Middle: Occlusion of the catheter lumen by urothelium precludes pressure transmission. Bottom: Air-charged…

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The Normal Study

Jun 20, 2017 by in UROLOGY Comments Off on 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…

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Special Considerations in the Pediatric Patient

Jun 20, 2017 by in UROLOGY Comments Off on 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,…

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Optimizing the Study

Jun 20, 2017 by in UROLOGY Comments Off on 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…

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Physician Coding and Reimbursement for Urodynamics

Jun 20, 2017 by in UROLOGY Comments Off on 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…

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