Urodynamic Flashcards
What is urodynamic
Urodynamic include all measurements that assess the function and dysfunction of the LUT.
Before urodynamic
Comprehensive history
Medication list
Urine analgesia
Clinical examination
Bladder diary
Valid bother score and qualify of life questionnaire.
Bladder diary involve
Useful, none invasive method
1- fluid intake
2- frequency
3- episode of incontinence
4- urgency
5 - using pads
6- time and volume of voiding
Indications of urodynamic
Urge incontinence before surgery
SUI for previous surgical management
Voiding dysfunction
Anterior compartment prolapse
Neurological urinary incontinence ( Spina bifida, spinal cord injury anorectal abnormalities) before surgery
Children
Frail ladies with urinary incontinence
Causes of voiding dysfunction
Detrusor muscle contraction dysfunction
Urethral dysfunction
Bladder out flow obstruction
What is normal Q max
20-36 ml/ second
Maximum urine flow rate
What size of catheter used
5-7 Folyth catheter
Transurethral double lumen or triple lumen