Urodynamics for Urogynecologists

1. Front Matter

   Pages i-xix

   PDF

2. Physiology of Micturition in Female

   • Giancarlo Vignoli

   Pages 1-15

3. Pretest Assessment

   • Giancarlo Vignoli

   Pages 17-30

4. Noninvasive Urodynamics

   • Giancarlo Vignoli

   Pages 31-40

5. How to Perform Conventional Urodynamic Investigation: The “Good Urodynamic Practice”

   • Giancarlo Vignoli

   Pages 41-60

6. Interpretation of Tracings and Identification of Artifacts

   • Giancarlo Vignoli

   Pages 61-77

7. Supplementary Urodynamic Tests

   • Giancarlo Vignoli

   Pages 79-92

8. UDS in Stress Urinary Incontinence Syndrome (SUI-S)

   • Giancarlo Vignoli

   Pages 93-112

9. UDS in Pelvic Organ Prolapse Syndrome (POP-S)

   • Giancarlo Vignoli

   Pages 113-130

10. UDS in Overactive Bladder Syndrome (OAB-S)

    • Giancarlo Vignoli

    Pages 131-147

11. UDS in Voiding Dysfunction Syndrome (VD-S)

    • Giancarlo Vignoli

    Pages 149-167

12. UDS in Pain Bladder Syndrome (PBS) and Overactive Pelvic Floor Dysfunction

    • Giancarlo Vignoli

    Pages 169-182

13. Neurogenic Lower Urinary Tract Dysfunction Syndrome (NLUTD-S) in Female

    • Giancarlo Vignoli

    Pages 183-216

14. Making Sense of Urodynamic Testing for Women with LUTS: Practical Conclusive Notes

    • Giancarlo Vignoli

    Pages 217-220

15. Back Matter

    Pages 221-236

    PDF

This book offers gynecologists and urogynecologists a pocket guide to urodynamic testing in women with lower urinary tract symptoms. In female urology, the main indications for urodynamics are urinary incontinence, pelvic organ prolapse, urgency-frequency syndrome (also known as overactive bladder), emptying disorders and painful bladder. By collecting quantitative measurements while reproducing the patient’s voiding symptoms where appropriate and possible, urodynamics helps to identify the cause of symptoms, supports management and facilitates prognoses. However, despite the undeniable advantages, the role of urodynamics in female urology is hotly debated. The book starts by describing the physiological background and methodological considerations for urodynamic best practice in the preclinical setting. It then explains how to perform urodynamics correctly – so-called “good urodynamic practice” – to increase the readers’ confidence and ability to perform and interpret urodynamic investigations. Lastly, it reviews the advantages and disadvantages of urodynamic testing in each of the key clinical female urology conditions. A separate chapter focuses on the peculiarities of diagnosis and management for female patients with neurogenic bladder. This guide offers a valuable tool for gynecologists, urologists and urogynecologists, as well as a ready source of information for all physicians involved in diagnosing and treating lower urinary tract disorders in women.

• Urinary incontinence
• Overactive bladder
• Lower urinary tract symptoms
• Voiding symptoms
• Painful bladder
• Neurogenic bladder
• "Good urodynamic practice"

• Functional Urology Unit, Casa Madre Fortunata Toniolo, Bologna, Italy

  Giancarlo Vignoli

Giancarlo Vignoli is a consultant urologic surgeon at Casa di Cura Madre Fortunata Toniolo, Bologna, Italy. He trained at Policlinico S.Orsola – Malpighi in Bologna, where he subsequently completed his doctoral thesis on the “Role of Urodynamic Studies in the Assessment of Lower Urinary Tract”. He completed his subspecialty training at the University of Bologna’s Department of Urology, where he worked as a urologist until December 2009. Dr. Vignoli has a particular interest in functional urology and urodynamic techniques. He is co-Founder of the Società Italiana di Urodinamica (SIUD), and he has also served as vice-president and scientific secretary of SIUD and the Associazione Italiana di Uroginecologia (AIUG). He is a member of the most important Italian urogynecological associations and societies. He co-authored the 1st edition of the EAU Guidelines on Diagnosis and Management of Female Urinary Incontinence and is a reviewer for the International Urogynecology Journal and Pelvic Floor Dysfunctions. He is the author of  Urodynamics: A Quick Pocket Guide, Springer, 2017.

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