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Urodynamics and the Evaluation of Female Incontinence

A Practical Guide

  • Peter K. Sand
  • Donald R. Ostergard

Table of contents

  1. Front Matter
    Pages i-x
  2. Routine Office Evaluation

    1. Front Matter
      Pages 1-1
    2. Peter K. Sand, Donald R. Ostergard
      Pages 3-4
    3. Peter K. Sand, Donald R. Ostergard
      Pages 5-5
    4. Peter K. Sand, Donald R. Ostergard
      Pages 6-10
    5. Peter K. Sand, Donald R. Ostergard
      Pages 11-13
    6. Peter K. Sand, Donald R. Ostergard
      Pages 14-15
    7. Peter K. Sand, Donald R. Ostergard
      Pages 16-17
    8. Peter K. Sand, Donald R. Ostergard
      Pages 18-18
    9. Peter K. Sand, Donald R. Ostergard
      Pages 19-19
    10. Peter K. Sand, Donald R. Ostergard
      Pages 20-23
  3. Cystourethroscopy and Cystometry

    1. Front Matter
      Pages 25-25
    2. Peter K. Sand, Donald R. Ostergard
      Pages 27-28
    3. Peter K. Sand, Donald R. Ostergard
      Pages 29-30
    4. Peter K. Sand, Donald R. Ostergard
      Pages 31-31
    5. Peter K. Sand, Donald R. Ostergard
      Pages 32-34
  4. Multichannel Urodynamics: Normal Studies

    1. Front Matter
      Pages 35-35
    2. Peter K. Sand, Donald R. Ostergard
      Pages 37-38
    3. Peter K. Sand, Donald R. Ostergard
      Pages 39-42
    4. Peter K. Sand, Donald R. Ostergard
      Pages 44-45
    5. Peter K. Sand, Donald R. Ostergard
      Pages 46-49
    6. Peter K. Sand, Donald R. Ostergard
      Pages 50-51
    7. Peter K. Sand, Donald R. Ostergard
      Pages 52-54
    8. Peter K. Sand, Donald R. Ostergard
      Pages 55-57
    9. Peter K. Sand, Donald R. Ostergard
      Pages 58-63
  5. Multichannel Urodynamics: Pathologic Studies

    1. Front Matter
      Pages 65-65
    2. Peter K. Sand, Donald R. Ostergard
      Pages 67-70
    3. Peter K. Sand, Donald R. Ostergard
      Pages 71-73
    4. Peter K. Sand, Donald R. Ostergard
      Pages 74-79
    5. Peter K. Sand, Donald R. Ostergard
      Pages 80-82
    6. Peter K. Sand, Donald R. Ostergard
      Pages 83-85
    7. Peter K. Sand, Donald R. Ostergard
      Pages 86-87
    8. Peter K. Sand, Donald R. Ostergard
      Pages 88-89
    9. Peter K. Sand, Donald R. Ostergard
      Pages 91-93
    10. Peter K. Sand, Donald R. Ostergard
      Pages 94-95
    11. Peter K. Sand, Donald R. Ostergard
      Pages 96-97
    12. Peter K. Sand, Donald R. Ostergard
      Pages 98-100
    13. Peter K. Sand, Donald R. Ostergard
      Pages 101-102
  6. Special Tests

    1. Front Matter
      Pages 103-103
    2. Peter K. Sand, Donald R. Ostergard
      Pages 105-110
    3. Peter K. Sand, Donald R. Ostergard
      Pages 111-114
    4. Peter K. Sand, Donald R. Ostergard
      Pages 116-117
    5. Peter K. Sand, Donald R. Ostergard
      Pages 118-120
    6. Peter K. Sand, Donald R. Ostergard
      Pages 122-123
    7. Peter K. Sand, Donald R. Ostergard
      Pages 125-127
    8. Peter K. Sand, Donald R. Ostergard
      Pages 128-129
    9. Peter K. Sand, Donald R. Ostergard
      Pages 131-133
    10. Peter K. Sand, Donald R. Ostergard
      Pages 134-136
    11. Peter K. Sand, Donald R. Ostergard
      Pages 138-139
  7. Urodynamic Artifacts

    1. Front Matter
      Pages 141-141

About this book

Introduction

Urodynamic evaluation of the incontinent female has come of age. It is no longer accept­ able to subject women to surgical procedures for urinary incontinence based solely on the physician's clinical impression of the cause of the urine loss. Multiple studies in the uro­ gynecological literature have told us that the error rate for stress incontinence is about 25% and the error rate for the unstable bladder is 50% when these diagnoses are based solely on historical data obtained from the patient. Unfortunately the patient is a poor witness to her bladder's activities and diagnoses arrived at without further evaluation are subject to error. Urodynamic testing allows the establishment of precise diagnoses using procedures that have been proven to be accurate. For the physician who has not had the opportunity to have fellowship training, the uro­ dynamic tracing is sometimes more of a mystery than a diagnostic aid. Physician training in the reading of urodynamic tracings is limited to piecing together information from the literature, textbooks and postgraduate courses. Unfortunately none of these sources can provide the experience necessary to become an expert in the interpretation of the physio­ logical and pathophysiological events depicted on the tracing. Artifacts occur commonly and may lead to misinterpretation of these events and even misdiagnosis if the reader of the tracing is not careful and fully informed on the nuances of the testing procedures. This is why this text was conceived as an atlas of urodynamic testing procedures.

Keywords

Female Incontinence age care diagnosis dynamics evaluation incontinence lead patients pelvic floor stress training treatment urinary incontinence women

Authors and affiliations

  • Peter K. Sand
    • 1
  • Donald R. Ostergard
    • 2
  1. 1.Division of Urogynecology, Evanston Continence Center, Evanston HospitalNorthwestern University Medical SchoolEvanstonUSA
  2. 2.Division of Urogynecology, Long Beach Memorial HospitalUniversity of California at IrvineLong BeachUSA

Bibliographic information