Urodynamic Testing: Complex

Published on 30/05/2015 by admin

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Last modified 30/05/2015

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Chapter 252 Urodynamic Testing: Complex

DESCRIPTION

Complex urodynamic testing involves measurement of bladder function carried out with the use of specialized equipment or techniques.

INDICATIONS

Urinary incontinence (stress, urge, mixed, overflow). May be used as an adjunct to the evaluation of interstitial cystitis or other urinary complaints.

CONTRAINDICATIONS

Active bladder infection. Known or suspected allergy to cleansing solutions or local anesthetics to be used.

REQUIRED EQUIPMENT

• Sterile gloves, antiseptic solution and sterile cotton balls, or skin preparation swabs
• Sterile urine specimen cup (with graduations)
• 12- or 14-French straight catheter
• 1 L of sterile saline (intravenous fluid without glucose is generally used) at room temperature
• 2% lidocaine jelly in mushroom-tipped syringe (optional)
• Intravenous or pump tubing (based on the specifics of the equipment used)
• Absorbent underpads
• Urodynamics testing unit (includes recording device, fluid pump, catheter puller, uroflowmetry commode)
• Printer for urodynamics reports
• An assistant is advantageous

If Cystoscopy Is To Be a Part of the Procedure

• Cystoscope (rigid or flexible, direct viewing or with a 30-degree or greater down-angle view; the latter is better for visualizing the bladder trigone and ureteral openings)
• Fiberoptic light source (compatible with type of cystoscope used)
• Fiberoptic light cord

TECHNIQUE

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