By Jerry G. Blaivas, Visit Amazon's Michael B. Chancellor Page, search results, Learn about Author Central, Michael B. Chancellor, , Michael R. Verhaaren, Jeffrey P. Weiss
Through pairing the very best quality photos with succinct textual content, this absolutely revised atlas explains equipment of analysis, assessment and remedy
- Detailing how you can manage a urodynamic laboratory and discusses gear and person urodynamic ideas
- Illustrating neurologic stipulations, the particular difficulties of pediatric and geriatric sufferers
- With special, conscientiously reproduced urodynamic tracings and scans exhibit you what to anticipate within the lab
- The extremely popular writer workforce is led via Dr. Jerry Blaivas, a well-known professional within the box who acquired the Lifetime success Award from the Society for Urodynamics and feminine Urology.
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Extra info for Atlas of Urodynamics
H) Measuring equipment. Pitfalls of cystometry 1) Calibration of electronic equipment should be done on a regular basis. Failure to do so can greatly alter the numeric values of pressure. 2) The rate of bladder filling can alter certain cyptometric findings. Non-physiologic filling rates decrease bladder compliance; the higher the filling rate, the lower the compliance [8,9] and may also proverb detrusion overactivity and bladder pain. 3) Intravesical pressure is affected by (1) the volume of fluid in the bladder, (2) the presence or absence of a detrusor contraction, (3) bladder compliance, and (4) extravesical conditions that cause compression restriction, or expansion of the bladder.
Two in particular are (1) failing to fill the bladder to functional bladder capacity in patients with very large bladders and (2) ascribing pathology to patients who are unable to generate a voluntary detrusor contraction during the urodynamic study. These are discussed in more detail in the Chapter 8. Suggested Reading 1 Abrams PH, Blaivas JG, Stanton SL, Andersen JT. Standardisation of lower urinary tract function, Neurourol Urodynam, 7: 403, 1988. 2 Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, van Kerrebroeck P, Victor A, Wein A.
LM Fig. 7 Low bladder compliance versus involuntary detrusor contraction. During bladder filling there is a steep rise in detrusor pressure. Is this a detrusor contraction or low bladder compliance? The principal means by which this distinction is made is to stop the bladder infusion. Each time it is stopped (vertical solid lines), detrusor pressure falls (dotted lines) and when bladder infusion is started again (vertical dashed lines), detrusor pressure rises (dashed lines). At the end of bladder filling, there is another rise in detrusor pressure (arrow A) and the infusion is stopped.
Atlas of Urodynamics by Jerry G. Blaivas, Visit Amazon's Michael B. Chancellor Page, search results, Learn about Author Central, Michael B. Chancellor, , Michael R. Verhaaren, Jeffrey P. Weiss