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Fundamentals of urodynamic practice

BASED ON INTERNATIONAL CONTINENCE SOCIETY GOOD URODYNAMIC PRACTICES RECOMMENDATIONS


AIMS
To review the recommendations on basic urodynamic testing in the International Continence Society (ICS) standardization documents, specifying key recommendations for delivery and interpretation in clinical practice.

METHODS
Fundamental expectations described in the ICS standards on good urodynamic practices, urodynamic equipment, and terminology for lower urinary tract (LUT) function were identified and summarized.


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URODYNAMICS USELESS IN FEMALE STRESS INCONTINENCE?

TIME FOR SOME SENSE—A EUROPEAN EXPERT CONSENSUS


Routine use of urodynamics for the assessment of female stress urinary incontinence appears to be in decline across Europe. The reasons for this trend appear multifactorial, but the implications are of significant concern.

A multidisciplinary group of UDS experts from six European countries was convened, and a modified version of the Delphi method was utilised to reach a consensus viewpoint structured around five key questions.

 

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More Resources

August 28, 2018Philadelphia, PA (UroToday.com) Air charged catheters (ACC) are one type of assessment tool used in UDS to quantify pressures acting on the bladder, urethra, and abdomen. For the first time, a 5Fr ACC is being developed for UDS studies. Up till now, ACC has only been available in a 7Fr size. A 5Fr catheter may be more suitable in size for some pediatric populations. ACC has less motion artifact than water catheters, important for pediatric patients who are often unable to remain still during UDS. The aim of this study was to assess the potential clinical suitability of the new 5Fr ACC through five common UDS characteristics: pressure linearity, pressure offset, frequency response, pressure drift, and infusion rate.

The author suggested that the T-DOC® 5Fr ACC will be suitable for use in UDS studies. More data is needed to draw significant conclusions about the pressure drift and infusion rate.

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