Putting It All Together: Practical Advice on Clinical Urodynamics
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Urodynamic testing can be applied successfully to the real world of everyday clinical practice. The tests are ideally simulations of the clinical question posed by the patient’s condition. There is a reciprocal relationship between the tests and data which can be gathered. The simpler tests, uroflow and post void residual, are easy to perform but offer limited information. The more complex tests, cystometrogram with fluoroscopy and electromyography, offer a more accurate simulation and allow a better recreation of the clinical scenario but are not as easy to perform. Practitioners must always keep clinical context in mind; urodynamic findings by themselves are not pathognomonic. If a provider is not going to be physically present at the tests, the staff members who are actually doing the studies must share a common understanding of the methods and goals with the urologist who is interpreting the results. Level of testing should match with complexity of the clinical question being asked.
KeywordsPractical advice Fluoroscopy Urodynamic laboratory Real world use Tailored urodynamics Complex cystometrogram
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