This book is a comprehensive guide to lower urinary tract dysfunction that draws extensively on actual urodynamic traces and patient cases to ensure that the imparted knowledge will be readily transferable to clinical practice. The impressive collection of clinical cases is used to illustrate basic concepts of lower urinary tract function and to document urodynamic findings and typical patterns in a wide range of commonly encountered conditions. In addition, attention is drawn to frequent pitfalls and artifacts. Readers will be able to assess their skill in reaching the correct diagnostic conclusion in each case, as in addition to the urodynamic trace a full set of information is provided on aspects such as patient history, physical examination, voiding diary, laboratory examination, imaging studies, and cystourethroscopy, thereby directly simulating real-life clinical practice. The presented cases are drawn from the large clinical database that Professor Seung-June Oh has prospectively accumulated during the past 16 years of clinical practice. The book will be invaluable for residents and other practitioners and will also be of interest for medical students.
Section 1: Brief introduction on the neurophysiology.- Section 2: Diagnostic process and normal urodynamic study (UDS) findings.- 1. Uroflowmetry.- 2. Urethral pressure profile.- 3. Urethral sphincter electromyography (EMG).- 4. Filling cystometry.- 5. Voiding cystometry.- 6. Leak point pressure (LPP).- 7. Fluoroscopy.- 8. Conventional UDS vs Ambulatory UDS.- 9. Flow-EMG.- Section 3: Abnormal UDS findings.- 1. Pattern of uroflowmetry (UFM).- 2. Bladder sensation.- 3. Involuntary detrusor contraction.- 4. Underactive/acontractile detrusor.- 5. Bladder compliance.- 6. Bladder capacity.- 7. Incompetent urethral closure.- 8. Urodynamic stress urinary incontinence (SUI).- 9. Bladder outlet obstruction.- 10. ectal contraction.- 15. Fluoroscopic abnormalities.- Section 4: Pitfalls and artifacts in UDS.- 1. Artifact caused by hardware.- 2. Artifact caused by performing technique.- 3. Artifact caused by the interpretation.- Section 5: Typical Patterns.- 5-1. Urological conditions.- 1. OAB.- 2. SUI.- 3. BPH.- 4. Primary BN obstruction.- 5. female BOO.- 6. IC.- 7. Dysfunctional voiding .- 8. Pelvic organ prolapse.- 9. Urinary retention.- 10. Post-prostatectomy: with bladder change.- 11. Post-reconstruction.- 5-2. Brain lesions.- 1. CVA.- 2. Parkinson's ds.- 3. MSA.- 4. Cerebella lesion.- 5. Dementia/Alzheimer.- 6. Schizophrenia.- 7. Cerebral palsy.- 8. Brain tumor surgery/injury Head trauma.- 9. Hydrocephalus.- 5-3. Spinal cord lesions: according to level of injury.- 1. Spinal cord injury/spinal cord tumor/surgery.- 2. MS.- 3. myelodysplasia.- 4. HIVD/ spinal stenosis.- 5-4. Peripheral lesions miscellaneous lesions.- 1. Radical rectal surgery /Radical hysterectomy.- 2. RT history.- 3. DM.- 4. Others (incl. neuro-Behcet's, SLE).- Section 6. Case Studies of Mixed Lesions for Practical Exercise.- 1. HIV infection.- 2. Herpes.- 3. Habitual -acquired voiding dysfunction.- 4. BPH+PK ds.- 5. BPH+OAB.- 6. BPH+DM.