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Practical Urology: EssEntial PrinciPlEs and PracticE

Nerve conduction latency studies – deter-

5.

Lose G, Rosenkilde P, Gammelgaard J, Schroeder T. Pad-

 

mine time taken (latency) for a response to

 

weighing test performed with standardized bladder vol-

 

occur

in a

muscle

following peripheral

 

ume. Urology. 1988;32:78-80

 

6.

Kromann-Andersen B, Jakobsen H, Andersen JT. Pad-

 

nerve stimulation

 

 

 

 

 

 

weighing tests: a literature survey on test accuracy and

Reflex latency studies – assess the latency

 

 

reproducibility. Neurourol Urodyn. 1989;8:237-242

 

of a reflex arc, assessing the nerve conduc-

7.

Jorgensen L,Lose G,Thunedborg P.Diagnosis of mild stress

 

tion velocity in both the afferent and effer-

 

incontinence in females: 24-hour pad weighing test versus

 

ent limbs of the reflex.

 

 

the one-hour test. Neurourol Urodyn. 1987; 6:165-166

 

 

8.

Gilleran JP, Zimmern P. An evidence-based approach to

Sensory testing – a standard electrical

 

the evaluation and management of stress incontinence

 

stimulus is applied to the bladder/urethra

 

in women. Curr Opin Urol. 2005;15:236-243

 

to give the least current required for the

9.

Goode PS, Locher JL, Bryant RL, Roth DL, Burgio KL.

 

patient

to

perceive

a

stimulus. This is

 

Measurement of postvoid residual urine with portable

 

known

as

the vesical/

urethral sensory

 

transabdominal bladder ultrasound scanner and ure-

 

 

thral catheterization. Int Urogynecol J Pelvic Floor

 

threshold.

 

 

 

 

 

 

 

 

 

Dysfunct. 2000;11:296-300

 

 

 

 

 

 

 

 

 

 

 

 

 

10.

Weber AM, Taylor RJ, Wei JT, Lemack G, Piedmonte MR,

Conclusion

 

 

 

 

Walters MD.The cost-effectiveness of preoperative testing

 

 

 

 

(basic office assessment vs. urodynamics) for stress uri-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

nary incontinence in women. BJU Int. 2002;89: 356-363

We can say urodynamics is not an esoteric sub-

11.

Weidner AC, Myers ER,Visco AG, Cundiff GW, Bump RC.

 

Which women with stress incontinence require urody-

ject of limited applicability requiring complex

 

namic evaluation? Am J Obstet Gynecol. 2001;184:20-27

equipment. In most cases the basic principles

12.

Abrams P. Urodynamics. London: Springer-Verlag; 1997

are simple and may be applied to a series of

13.

Agency for Health Care Policy and Research. Clinical

questions formulated from the undertaking of a

 

practice guideline: urinary incontinence in adults.

 

Rockville MDOHAHSUAFHCPAR, editor. AHCPR Pub.

thorough history and clinical examination. It is

 

 

No. 96-0682. 1996

useful to view the urinary tract as a sequence of

 

14.

Digesu GA, Khullar V, Cardozo L, Salvatore S. Overactive

conduits within which urine movement is dic-

 

bladder symptoms: do we need urodynamics? Neurourol

tated by chamber pressures and resistance to

 

Urodyn. 2003;22:105-108

flow,

with intervening sphincters controlling

15.

Showalter PR, Zimmern PE, Roehrborn CG, Lemack GE.

flow. It is advisable to avoid jargon terms and

 

Standing cystourethrogram: an outcome measure after

 

anti-incontinence procedures and cystocele repair in

use

the nomenclature

of

the International

 

 

women. Urology. 2001;58:33-37

Continence Society as presented earlier in this

 

16.

Zimmern P, Lemack G. Voiding cystourethrography and

chapter.

 

 

 

 

 

magnetic resonance imaging of the lower urinary tract.

This chapter outlines the principles and prac-

 

In: Corcos I, Schick E, eds. The Urinary Sphincter. Marcel

tice of urodynamics used in routine clinical

 

Dekker, Inc.: New York; 2001:407-421

practice. Although we find that the “bladder is

17.

Hilton P, Stanton SL. Urethral pressure measurement by

an unreliable witness,” urodynamic techniques

 

microtransducer: the results in symptom-free women

 

and in those with genuine stress incontinence. Br J

have allowed for objective clarification of these

 

 

Obstet Gynaecol. 1983;90:919-933

subjective symptoms.

 

 

 

 

 

18.

Bump RC, Norton PA, Zinner NR,Yalcin I. Mixed urinary

 

 

 

 

 

 

 

incontinence symptoms: urodynamic findings, inconti-

 

 

 

 

 

 

 

nence severity, and treatment response. Obstet Gynecol.

References

 

 

 

 

2003;102:76-83

 

 

 

19.

Abrams P, Cardozo L, Fall M, et al. The standardisation

 

 

 

 

 

 

 

of terminology of lower urinary tract function: report

1. Chapple CR, Roehrborn CG. A shifted paradigm for the

 

from the Standardisation Sub-committee of the

further understanding, evaluation, and treatment of

 

International Continence Society. Neurourol Urodyn.

lower urinary tract symptoms in men: focus on the blad-

 

2002;21:167-178

der. Eur Urol. 2006;49(4):651-659

 

20.

Homma Y. The clinical significance of the urodynamic

2. www.iciq.net/. 2009

 

 

 

investigation in incontinence. BJU Int. 2002;90:489-497

3. Griffiths D, Tadic SD. Bladder control, urgency, and urge

21.

Petrou SP, Broderick GA. Valsalva leak-point pressure

incontinence: evidence from functional brain imaging.

 

changes after successful and failed suburethral sling. Int

Neurourol Urodyn. 2008;27(6):466-474

 

Urogynecol J Pelvic Floor Dysfunct. 2002;13:299-302

4. Addla S,Adeyouju A, Neilson D.Assessment of reliability

22.

Chapple CR, MacDiarmid SA, Patel A. Urodynamics

of 1-day, 3-day and 7-day frequency volume charts. Eur

 

Made Easy. 3rd ed. Edinburgh, UK: Elsevier Churchill

Urol Suppl. 2004;2:30

 

 

 

Livingstone; 2009