Saturday, 4 April 2009

URODYNAMICS INFORMATION(Updated 2nd June 2010)

"Urodynamics is the investigation of the function and dysfunction of the lower urinary tract. Urodynamic studies involve the measurement of pressure, flow or electrical activity of the lower urinary tract."

Joint statement on minimum standards for urodynamic practice in the UK

NICE Guidelines-Urinary incontinence (UK)

NHS-Urinary incontinence (UK)
NHS-Diagnosing urinary incontinence (UK)

2009 Annual Evidence Update on Urinary Incontinence



AUA 2009 - Urodynamics/Incontinence/Female Urology: Urodynamic Testing - Defining the Educational Gap in Urodynamics Training Between Residency and the First 18 Months in Practice - Session Highlights

CHICAGO, IL, USA (UroToday.com) - Dr. Beth Mueller presented interesting data on the rising use of urodynamics and the gap between the urodynamic experience of residents and the use of the study in the first 18 months of practice.
Overall, although half of graduating urology residents reported that their urodynamic training was less than adequate, only one third had actually performed any studies during their training. Logs of 878 candidates applying for the first time for part II certification by the American Board of Urology showed that 88% performed the studies in their practices within 18 months of graduating. Additionally, a greater than 129% increase in urodynamics procedures performed was seen over a four year period between 2004 and 2007, based on the logs of 2650 urologists applying for first time part II certification or recertification.
A standardized curriculum for UDS training may better prepare urology residents for ideal use of the study in clinical practice.
AUA 2009 - Urodynamics/Incontinence/Female Urology: Urodynamic Testing - Defining the Educational Gap in Urodynamics Training Between Residency and the First 18 Months in Practice-Session Highlights





LAS VEGAS, NV, USA (UroToday.com) - Elizabeth Mueller MD from Loyola University began by presenting her research on urodynamic utilization and practice patterns among urologists.

She collected practice log data from the American Board of Urology certification and recertification applications over the period from 2003 to 2007.

The percentage of new urologists performing urodynamic studies (UDS) over this time period increased from 81% to 94% and the percentage of recertifying urologists performing UDS increased from 70% to 89%.

Overall, there was a 2-3 times increase in the total number of urodynamic procedures performed over this time period; this was due to an increase in the number of physicians performing studies and, more significantly, more procedures performed per physician.

Video urodynamic studies are only performed by 3.9% of urologists and represent 3.3% of all studies.

The most common urodynamic procedure performed is complex uroflowmetry, which, of course, is most commonly performed as a stand-alone procedure in the office without a complete pressure-flow study. The least common procedures performed are needle EMG, urethral pressure profile and stimulus evoked response test.

Presented by Elizabeth R. Mueller, MD at the Society for Urodynamics & Female Urology (SUFU) 2009 Winter Meeting, February 25 - 28, 2009 - Las Vegas, NV, USA
SUFU 2009-Urodynamics:Utilization Patterns Amongst Practitioners-Session Highlights

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