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Abrams' Urodynamics. Edition No. 4

  • Book

  • 640 Pages
  • April 2021
  • John Wiley and Sons Ltd
  • ID: 5240741
Abrams’ Urodynamics

A complete guide to urodynamic investigation in modern health care

Urodynamic testing is an ever-advancing field with applications in the management of patients from across a wide range of clinical areas. Bringing together fundamental principles and cutting-edge innovations, Abrams’ Urodynamics has been designed as an all-in-one guide to Functional Urology and Urogynecology, offering direct, up-to-date instruction on how to best perform and understand urodynamic tests within the overall treatment pathway. Its chapters cover everything from everyday basic practice to advanced complex cases, and are enhanced with more than 450 helpful illustrations. Including numerous revisions and new features, this fourth edition of the book boasts:- Coverage of all investigative approaches, including uroflowmetry, cystometry, video-urodynamics, and non-invasive techniques- Details on the successful running of a urodynamic unit, with information on organizational issues, equipment set-up, and common problems and pitfalls- Sections addressing children, women, men, the elderly, and neuropaths- Extensive description of International Continence Society (ICS) Standards throughout- Appendices that include ICS Standards and Fundamentals documents, ICIQ modules, and Patient Information Leaflets

With its wealth of clinical tips, illustrations, new innovations, and hands-on advice, Abrams’ Urodynamics is essential reading for all those wishing to better integrate urodynamic testing into their daily practice.

Table of Contents

Abbreviations ix

Contributors xi

Preface xv

First Foreword xvii

Second Foreword xix

Part I Basic Principles 1

1. Basic Urodynamics and Fundamental Issues 3
Marcus Drake, Andrew Gammie, Laura Thomas, Arturo García-Mora, and Hashim Hashim

2. Applied Anatomy and Physiology 24
Chendrimada Madhu and Marcus Drake

3. The Physics of Urodynamic Measurements 45
Andrew Gammie

Part II Functional Urology 53

4. Patient Assessment 55
Musaab Yassin, Alan Uren, and Nikki Cotterill

5. Treatments for Lower Urinary Tract Dysfunction 73
Sharon Yeo and Hashim Hashim

Part III Urodynamic Techniques 93

6. Uroflowmetry 95
Amit Mevcha and Richard Napier-Hemy

7. Cystometry and Pressure-Flow Studies 109
Marcus Drake, Rachel Tindle, and Su-Min Lee

8. Video Urodynamics 158
Marcus Drake, Michelle Ong, Devang Desai, Michel Wyndaele, Mark Woodward, and Hashim Hashim

9. Ambulatory Urodynamics 193
Julie Ellis-Jones and Wendy Bevan

10. Studies Assessing Urethral Pressures 199
Dharmesh Kapoor and Marcus Drake

11. Non-invasive Urodynamics 217
Alison Bray, Christopher Blake, and Christopher Harding

Part IV Urodynamics in Clinical Practice 227

12. Urodynamics in Children 229
Jonathan S. Ellison, Guy Nicholls, and Mark Woodward

13. Urodynamics in Women 242
Wael Agur, Ruben Trochez, Antonin Prouza, George Kasyan, and Abdelmageed Abdelrahman

14. Urodynamics in Men 273
Arturo García-Mora, Connie Chew, and Marcus Drake

15. Structural Changes of the Bladder Outlet 301
Michelle Ong, Marcus Drake, and Devang Desai

16. Neurological Disease and LUTS 313
Marcus Drake, Jeremy Nettleton, and Mohammed Belal

17. Urodynamics in Older People 360
Su-Min Lee and Emily Henderson

Part V Running a Urodynamics Unit 369

18. Troubleshooting During Urodynamics 371
Laura Thomas, Rachel Tindle, and Andrew Gammie

19. Artefacts in Urodynamics 383
Andrew Gammie

20. Anorectal Physiology 394
Laura Thomas and Kathryn McCarthy

21. Organisation of the Urodynamic Unit 406
Laura Thomas, Alexandra Bacon, Joanne Sheen, and Andrew Gammie

22. Equipment 412
Andrew Gammie

23. Working with Limited Resources 415
Andrew Gammie, Laura Thomas, Marcus Drake, and Eskinder Solomon

24. Research Evidence on the Clinical Role of Urodynamics 420
Andrew Gammie, Marcus Drake, and Hashim Hashim


Key Patient Assessment Tools from the International Consultation on Incontinence Questionnaires (ICIQ) 423




Fundamentals Documents from the International Continence Society 434

N&U 2018 Volume 37 Supplement 6 434

Editorial Comment 439

A Commentary on Expectations of Healthcare Professionals When Applying the International Continence Society Standards to Basic Assessment of Lower Urinary Tract Function 440

Fundamentals of Terminology in Lower Urinary Tract Function 446

Basic Concepts in Nocturia, Based on International Continence Society Standards in Nocturnal Lower Urinary Tract Function 453

Neurological Lower Urinary Tract Dysfunction Essential Terminology 458

The Fundamentals of Chronic Pelvic Pain Assessment, Based on International Continence Society Recommendations 465

How to Use the Pelvic Organ Prolapse Quantification (POP-Q) system? 472

The Fundamentals of Uroflowmetry Practice, Based on International Continence Society Good Urodynamic Practices Recommendations 477

Fundamentals of Urodynamic Practice, Based on International Continence Society Good Urodynamic Practices Recommendations 483

Basics of Videourodynamics for Adult Patients With Lower Urinary Tract Dysfunction 494

Why ICS Standardization of Lower Urinary Tract Symptoms Matters 500

Critical Steps in Developing Professional Standards for the International Continence Society 502

Patient Information Leaflets from the Bristol Urological Institute 508

Free Flow Rate Testing 508

Urodynamics 515

Practice, Standards, and Equipment Recommendations 530

International Consultation on Incontinence 2016; Executive Summary: Urodynamic Testing 531

United Kingdom Continence Society: Minimum Standards for Urodynamic Studies, 2018 539

UK Centre for Evidence-Based Purchasing; Buyers’ Guide Urodynamics Systems 571

International Continence Society Good Urodynamic Practices and Terms 2016: Urodynamics, uroflowmertry, cystometry, and pressure-flow study 578

Good Urodynamic Practices Documents from the International Continence Society 595

Good Urodynamic Practices: Uroflowmetry, Filling Cystometry, and Pressure-Flow Studies 596

Index 610


Marcus Drake Hashim Hashim Andrew Gammie