UROLOGY

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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Special Considerations in the Neurogenic Patient

Jun 20, 2017 by in UROLOGY Comments Off on 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…

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Urodynamics Equipment: Selection and Training

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

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The 9 “C’s” of Pressure-Flow Urodynamics

Jun 20, 2017 by in UROLOGY Comments Off on 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…

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Conducting the Urodynamic Study

Jun 20, 2017 by in UROLOGY Comments Off on 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…

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