The Organisation of Urodynamic Units

Abstract

The initial concept of the Urodynamic Unit has been outlined in the first chapter. The aim was threefold: to develop urodynamic techniques, evaluating their contribution in the management of lower urinary tract disorders, to provide facilities for research by medical graduates during their surgical training and to reconsider the pathophysiology of various clinical problems, particularly where previous treatment had proved unsatisfactory. The original project was a modest one, but the demand for the investigations rapidly increased during the ensuing years (Fig. 6.1). When the Unit started there was no division between the research work and the service commitment, but this became necessary later as the pattern of referrals became apparent and specific projects were studied. Thus, the establishment both in terms of staff and equipment gradually evolved to balance the clinical demands. A urodynamic unit requires the same consideration as any other diagnostic department. The equipment appears expensive, but when compared with the cost of other modern diagnostic technology it is certainly not excessive. Furthermore, the results of the investigations are cost-effective if their contribution to clinical management is fully appreciated. The units needs to be housed in a suitable environment and staffed by experienced medical practitioners who are adequately supported by technical and clerical personnel. The organisation of our Unit is outlined in detail to illustrate some of the administrative factors that require consideration.