Clinical Urodynamics in Childhood and Adolescence PDF Download
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Author: Giovanni Mosiello
Publisher: Springer
ISBN: 331942193X
Category : Medical
Languages : en
Pages : 374
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Book Description
This book aims to impart all the practical knowledge required in order to evaluate and treat children with anatomical, neurological, and functional incontinence. It explains how appropriate choice of management in childhood depends first of all on a correct diagnosis, then on thorough urodynamic evaluation, and finally on sound assessment of the condition of the individual patient. The full range of relevant pathologies are considered and all of the treatment options are extensively discussed, including behavioral therapy, rehabilitation, physiotherapy, pharmacotherapy, neuromodulation, endoscopic procedures, and surgical reconstruction. Careful attention is paid to the impacts that treatments performed during childhood may have on later adult life, including on fertility and pregnancy, with a view to ensuring that the reader will be in a position to time treatments correctly, thereby avoiding adverse effects, and possess all the information needed to address the concerns of patients and their families. The book will be of value to pediatricians, urologists, nurses, physiotherapist, students, and all others with an interest in the field.
Author: Giovanni Mosiello
Publisher: Springer
ISBN: 331942193X
Category : Medical
Languages : en
Pages : 374
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Book Description
This book aims to impart all the practical knowledge required in order to evaluate and treat children with anatomical, neurological, and functional incontinence. It explains how appropriate choice of management in childhood depends first of all on a correct diagnosis, then on thorough urodynamic evaluation, and finally on sound assessment of the condition of the individual patient. The full range of relevant pathologies are considered and all of the treatment options are extensively discussed, including behavioral therapy, rehabilitation, physiotherapy, pharmacotherapy, neuromodulation, endoscopic procedures, and surgical reconstruction. Careful attention is paid to the impacts that treatments performed during childhood may have on later adult life, including on fertility and pregnancy, with a view to ensuring that the reader will be in a position to time treatments correctly, thereby avoiding adverse effects, and possess all the information needed to address the concerns of patients and their families. The book will be of value to pediatricians, urologists, nurses, physiotherapist, students, and all others with an interest in the field.
Author: Marcus Drake
Publisher: John Wiley & Sons
ISBN: 1118844718
Category : Medical
Languages : en
Pages : 230
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Book Description
Abrams’ Urodynamics A complete guide to urodynamic investigation in modern health care Urodynamic testing is an ever-advancing field with applications in the management of patients from across a wide range of clinical areas. Bringing together fundamental principles and cutting-edge innovations, Abrams’ Urodynamics has been designed as an all-in-one guide to Functional Urology and Urogynecology, offering direct, up-to-date instruction on how to best perform and understand urodynamic tests within the overall treatment pathway. Its chapters cover everything from everyday basic practice to advanced complex cases, and are enhanced with more than 450 helpful illustrations. Including numerous revisions and new features, this fourth edition of the book boasts: Coverage of all investigative approaches, including uroflowmetry, cystometry, video-urodynamics, and non-invasive techniques Details on the successful running of a urodynamic unit, with information on organizational issues, equipment set-up, and common problems and pitfalls Sections addressing children, women, men, the elderly, and neuropaths Extensive description of International Continence Society (ICS) Standards throughout Appendices that include ICS Standards and Fundamentals documents, ICIQ modules, and Patient Information Leaflets With its wealth of clinical tips, illustrations, new innovations, and hands-on advice, Abrams’ Urodynamics is essential reading for all those wishing to better integrate urodynamic testing into their daily practice.
Author: Ranee Thakar
Publisher: Cambridge University Press
ISBN: 1108432220
Category : Medical
Languages : en
Pages : 125
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Book Description
Discover the essential knowledge gynaecologists and continence nurses need to know to perform high-quality urodynamic investigations.
Author: Andrew C. Peterson
Publisher: Springer
ISBN: 3319208349
Category : Medical
Languages : en
Pages : 169
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Book Description
This text provides a comprehensive, state-of-the-art review of this field, and will serve as a valuable practical resource for clinicians with an interest in conducting urodynamics. The book reviews new data about the indications, conduct and interpretation of various aspects of urodynamic testing. With an emphasis on clinical urodynamics, it is arranged into sections that correspond with the basic elements of urodynamic testing; noninvasive urodynamics (uroflow and post void residual), cystometrogram, storage studies (leak point pressures, stability, compliance and capacity) and voiding phases (pressure flow study). Other testing modalities that are discussed include EMG testing, fluoroscopy, and provocative maneuvers. Practical Urodynamics for the Clinician will serve as a very useful and practical resource for physicians and researchers dealing with, and interested in, this complex physiologic testing tool. It will provide a concise yet comprehensive summary of the field that will help guide the selection of patients for the study, preparation of the patient, the conduct of the study and finally the interpretation of the urodynamics evaluation.
Author: Jen Tidman
Publisher: Elsevier
ISBN: 0323999352
Category : Science
Languages : en
Pages : 354
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Book Description
Rare and Complex Urology combines information on clinical aspects, network developments and patient journeys in specific rare and complex urological diseases within the ERN (European Reference Network) template structure, allowing for better diagnosis, treatment and patient outcome. Each chapter contains an introduction on specific diseases with representative clinical images followed by a clinical view on treatment options (non-surgical and surgical) with clear schema and drawings; nurse specialist views on current care, patient views on the lifelong journey and expected development and research innovations for the future. Diseases covered include those of the bladder, stone and kidney diseases, malformations, pelvic floor disorders, the female urethra, reconstruction, surgery, cancers and rare tumors. This is a must have reference for basic scientists interested in engaging in translational urology and surgery and well as urologists seeking guidance on how to implement novel research. - Provides a foundation for many rare urogenital diseases and complex conditions with contributions from high-volume centres monitored by ERN eUROGEN - Combines in-depth research findings with clinical information to supply state-of-the-art care solutions for rare and complex aspects of urology - Removes the uncertainty of managing rare and complex urogenital cases and variations in practice
Author: Marcus Drake
Publisher: John Wiley & Sons
ISBN: 1118844734
Category : Medical
Languages : en
Pages : 230
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Book Description
Abrams’ Urodynamics A complete guide to urodynamic investigation in modern health care Urodynamic testing is an ever-advancing field with applications in the management of patients from across a wide range of clinical areas. Bringing together fundamental principles and cutting-edge innovations, Abrams’ Urodynamics has been designed as an all-in-one guide to Functional Urology and Urogynecology, offering direct, up-to-date instruction on how to best perform and understand urodynamic tests within the overall treatment pathway. Its chapters cover everything from everyday basic practice to advanced complex cases, and are enhanced with more than 450 helpful illustrations. Including numerous revisions and new features, this fourth edition of the book boasts: Coverage of all investigative approaches, including uroflowmetry, cystometry, video-urodynamics, and non-invasive techniques Details on the successful running of a urodynamic unit, with information on organizational issues, equipment set-up, and common problems and pitfalls Sections addressing children, women, men, the elderly, and neuropaths Extensive description of International Continence Society (ICS) Standards throughout Appendices that include ICS Standards and Fundamentals documents, ICIQ modules, and Patient Information Leaflets With its wealth of clinical tips, illustrations, new innovations, and hands-on advice, Abrams’ Urodynamics is essential reading for all those wishing to better integrate urodynamic testing into their daily practice.
Author: Gabrielle Koutoukidis
Publisher: Elsevier Health Sciences
ISBN: 0729587843
Category : Medical
Languages : en
Pages : 1563
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Book Description
Written by Gabby Koutoukidis and Kate Stainton, Tabbner's Nursing Care: Theory and Practice 8th edition provides students with the knowledge and skills they will require to ensure safe, quality care across a range of healthcare settings. Updated to reflect the current context and scope of practice for Enrolled Nurses in Australia and New Zealand, the text focuses on the delivery of person-centred care, critical thinking, quality clinical decision making and application of skills. Now in an easy to handle 2 Volume set the textbook is supported by a skills workbook and online resources to provide students with the information and tools to become competent, confident Enrolled Nurses. Key features - All chapters aligned to current standards including the NMBA Decision Making Framework (2020), the Enrolled Nurse Standards for Practice (2016) and the National Safety & Quality Health Services Standards (2018) - Clinical skills videos provide visual support for learners - Supported by Essential Enrolled Nursing Skills Workbook 2nd edition - An eBook included in all print purchasesNew to this edition - Chapter 5 Nursing informatics and technology in healthcare focuses on competency in nursing informatics for beginning level practice, aligned to the National Nursing and Midwifery Digital Capability Framework 2020 - An increased focus on cultural competence and safety - Supported by Elsevier Adaptive Quizzing Tabbner's Nursing Care 8th edition
Author: Israel Franco
Publisher: John Wiley & Sons
ISBN: 1118814754
Category : Medical
Languages : en
Pages : 354
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Book Description
Pediatric incontinence: evaluation and clinical management offers urologists practical, 'how-to' clinical guidance to what is a very common problem affecting up to 15% of children aged 6 years old. Introductory chapters cover the neurophysiology, psychological and genetic aspects, as well as the urodynamics of incontinence, before it moves on to its core focus, namely the evaluation and management of the problem. All types of management methods will be covered, including behavioural, psychological, medical and surgical, thus providing the reader with a solution to every patient's specific problem. The outstanding editor team led by Professor Israel Franco, one of the world’s leading gurus of pediatric urology, have recruited a truly stellar team of contributors each of whom have provided first-rate, high-quality contributions on their specific areas of expertise. Clear management algorithms for each form of treatment support the text, topics of controversy are covered openly, and the latest guidelines from the ICCS, AUA and EAU are included throughout. Perfect to refer to prior to seeing patients on the wards and in the clinics, this is the ideal guide to the topic and an essential purchase for all urologists, pediatric urologists and paediatricians managing children suffering from incontinence.
Author: Peter Wide
Publisher: Linköping University Electronic Press
ISBN: 9179297889
Category :
Languages : sv
Pages : 74
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Book Description
Spinal dysraphism (SD) is a congenital malformation that to a varying extent, often severely, affects the life of the child and the family. Most individuals with SD suffer from neurogenic bladder and bowel dysfunction—with the risk of urinary tract infections, renal deterioration, urinary and fecal incontinence—that affects social participation and quality of life negatively. In newborns with SD, early detection of neurogenic bladder dysfunction and determination of post-void residual urine are required to determine the need of clean intermittent catheterization (CIC) and follow-up. The non-invasive method of four-hour voiding observation with provocation test (VOP) was used to evaluate bladder function in 50 newborn children with SD. Voiding patterns for the children were described and compared with those of 50 healthy newborns evaluated with VOP in an earlier study. Comparison revealed significant differences among several variables. In particular, leakage at provocation test and not voiding with a stream were common in newborns with SD but did not occur in healthy newborns. VOP is a non-invasive standardized method to determine residual urine in newborns with SD. It also adds information on voiding pattern, frequency, voiding with a stream and leakage at provocation. Findings in neonatal VOP of the same cohort of newborns with SD were then related to radiology, presence of urinary tract infections during the first year, and urodynamic findings and use of CIC at the age of one year. It was found that, in children with SD, not voiding with a stream may have a predictive value for the need of CIC at the age of one year, followed probably by lifelong CIC. Despite this, the presence of an open SD per se has stronger predictive value, and each child needs to be evaluated individually while considering a number of factors. The main value of VOP may be as a structured non-invasive screening method to uncover neurogenic bladder-sphincter dysfunction in the newborn. Studies with a larger number of subjects than the present are needed to evaluate the potential of VOP in newborns with closed spinal dysraphism in whom the neurological consequences vary. A retrospective analysis detected renal damage on DMSA scintigraphy in 5 of 41 children with SD who were followed according to a proactive national program with minimal use of surgery. Median follow-up time was 10 years. High baseline pressure was confirmed as a risk factor for renal damage. Compliance with treatment and follow-up is likely to be an important factor for renal health. Therefore, efforts to support children and their families are crucial. A questionnaire-based study of 107 children with SD (age 6–16y) in Sweden and Norway examined aspects of treatment for neurogenic bowel dysfunction focusing on incontinence, independence, general satisfaction and quality of life. It was found that transanal irrigation (TAI) and antegrade colonic enemas (ACE) are effective treatments, but are time-consuming and difficult to perform independently. The majority of children using TAI (72%) and ACE (63%) never went to the toilet alone to empty their bowels. As children achieving independence on the toilet reported higher quality of life, efforts to support independence are beneficial. Continent, self-managing children with healthy kidneys enjoy high quality of life and contribute more fully to society. Therefore, further research is required to investigate and develop existing and new technologies and methods that mitigate the problems related to SD, and to make them accessible to all children with spinal dysraphism. Under de senaste 50 åren har det skett en enastående utveckling av möjligheterna för barn som föds med ryggmärgsbråck. Tidigare har majoriteten av barn med ryggmärgsbråck avlidit redan som spädbarn men idag överlever de flesta till vuxen ålder. Utan aktiva insatser och uppföljning är dock risken för medicinska problem och allvarlig påverkan på livet mycket stor. Nu när nästan alla barn överlever ligger fokus på att också nå okad livskvalitet och självständighet för personer med ryggmärgsbråck. Nästan alla med ryggmärgsbråck måste hantera en allvarlig påverkan på blåsan och tarmen med risk för njurskador, inkontinens och förstoppning. I avhandlingens två första studier värderade vi en metod att, med minimalt obehag för barnet, bedöma blåsfunktionen. Detta för att kunna skilja ut de barn som behöver genomgå mer avancerade undersökningar och få hjälp med blåstömningen genom täta tappningar med kateter, sa kallad ren intermittent kateterisering, RIK. När vi jämförde resultatet av testet för 50 nyfödda med ryggmärgsbråck med samma undersökning av 50 friska nyfödda fann vi stora skillnader. Mest tydligt var att de flesta nyfödda med ryggmärgsbråck (69%) men inga friska nyfödda läckte urin när man tryckte över blåsan. Av nyfödda med ryggmärgsbråck kissade de flesta (74%) inte med stråle vilket alla friska nyfödda gjorde. Att inte kissa med stråle talade också starkt för att barnet skulle komma att behöva hjälp med RIK för att tomma blåsan vid ett ars ålder, och då sannolikt livet ut. Sammantaget visade avhandlingens två första arbeten att den metod för bedömning av blåsfunktion vi undersökt kan användas för att styra uppföljning och behandling av nyfödda med ryggmärgsbråck. Avhandlingens tredje studie visade att aktiv uppföljning av barnen enligt ett nationellt vårdprogram lyckades förhindra njurskador hos de flesta, men att höga tryck i urinblåsan och återkommande urinvägsinfektioner ökade risken för skador. Även familjernas förmåga att i en pressad vardag klara av att genomföra de ofta krävande behandlingar och undersökningar som rekommenderas verkade vara viktig för att förhindra njurskador. Stöttning av familjerna är därför viktig. Avhandlingens fjärde arbete berörde tarmen som nästan alltid är påverkad vid ryggmärgsbråck, med risk för svår förstoppning och avföringsläckage. Detta har påtaglig påverkan på barnen och deras familjer. En tredjedel av de 107 familjerna i vår enkätundersökning i Sverige och Norge (barn 6-16 år) beskrev att man fått avstå från aktiviteter såsom resor på grund av barnets tarmproblem och de barn som hade avföringsläckage rapporterade tydligt lägre livskvalitet än andra. Trots denna allvarliga påverkan finns det hittills inga studier som jämför de olika behandlingar som barnet kan använda. I vår enkät kartlade vi därför vilka metoder som användes och hur bra de fungerade. Vi ställde frågor till både barn och föräldrar, särskilt om avföringsläckage, hur nöjd man var med metoden, barnens livskvalitet och självständighet på toaletten. Det var utifrån svaren tydligt att båda de vanligaste typerna av tarmsköljning var effektiva men tidskrävande och svara för barn och ungdomar att klara att utföra på egen hand. Ingen metod visade sig överlägsen den andra men de barn som klarade att skota tarmtomningen själva skattade sin livskvalitet klart högre än övriga. Vi drar därför slutsatsen att det är viktigt att vårdpersonal diskuterar de olika behandlingsalternativen med barn och föräldrar, och tillsammans med dem väljer den metod som passar det enskilda barnet bäst. Då skapas bästa förutsättningar för att gemensamt arbeta vidare för att uppnå största möjliga självständighet. Självständiga individer, med friska njurar och utan urin- och avföringsinkontinens upplever högre livskvalitet och behöver mindre sjukvård och andra samhällsinsatser. Det behövs mer forskning för att utveckla existerande och nya metoder att hantera de allvarliga komplikationer som riskerar att drabba barn och vuxna med ryggmärgsbråck.
Author: Alan W. Partin
Publisher: Elsevier Health Sciences
ISBN: 0323672272
Category : Medical
Languages : en
Pages : 5215
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Book Description
From the basic science underpinnings to the most recent developments in medical and surgical care, Campbell-Walsh-Wein Urology offers a depth and breadth of coverage you won't find in any other urology reference. Now in three manageable volumes, the revised 12th Edition is a must-have text for students, residents, and seasoned practitioners, with authoritative, up-to-date content in an intuitively organized, easy-to-read format featuring key points, quick-reference tables, and handy algorithms throughout. - Features shorter, more practical chapters that help you find key information quickly. - Includes new chapters on Urinary Tract Imaging: Basic Principles of Nuclear Medicine · Ethics and Informed Consent · Incisions and Access · Complications of Urologic Surgery · Urologic Considerations in Pregnancy · Intraoperative Consultation · Special Urologic Considerations in Transgender Individuals · and more. - Covers hot topics such as minimally invasive and robotic surgery; advancements in urologic oncology, including innovative therapeutics for personalized medicine; new approaches to male infertility; technological advances for the treatment of stones; and advances in imaging modalities. - Incorporates current AUA/EAU guidelines in each chapter as appropriate - Updates all chapters with new content, new advances, and current references and best practices. Extensively updated chapters include Urological Immunotherapy, Minimally Invasive Urinary Diversion, and Updated Focal Therapy for Prostate Cancer. - Features more than 175 video clips, including all-new videos on perineal ultrasound, abdominoplasty in prune belly syndrome, partial penectomy, low dose rate brachytherapy, and many more. - Written and edited by key opinion leaders, reflecting essential changes and controversies in the field. - Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
