Search PubMed⌕ Search
Home/Archive/PubMed

PubMed · 7704138

Simple urodynamic techniques.

R G Rayome
View original source ↗Export metadata ↓

Abstract

Urodynamics is defined as a set of tests used to measure lower urinary tract function. For many health care professionals, the term urodynamics is limited to complex techniques that require sophisticated analog or computerized equipment capable of measuring flow, pressure, and electromyography. However, simple urodynamic techniques offer continence nurses and their patients a set of practical, safe, and inexpensive methods for the evaluation of urinary incontinence. This article provides specific indications for simple urodynamic evaluation, with a detailed discussion of application and interpretation of patient history, bladder records, pad tests, observation of urinary stream, postvoid residual measurement, and bedside cystometry with "eyeball" and manometer techniques.

Explore related subjects

Decision TreesHumansMedical RecordsUrinary IncontinenceUrodynamicsJournal Article

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

R G Rayome. 1995. Simple urodynamic techniques.. https://doi.org/10.1097/00152192-199501000-00009

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed1995

Use of posterior night splints in the treatment of plantar fasciitis.

Plantar fasciitis is a frequent cause of heel pain in athletes, as well as in persons who are not involved in sports. Stretching, strengthening, correction of training errors and orthotics are essential components in any treatment program. For patients who do not respond to these interventions, posterior night splints can obviate the need for invasive therapies such as corticosteroid injections and surgery.

Decision Trees↗
PubMed1995

Accuracy of clinical assessment of deep-vein thrombosis.

The clinical diagnosis of deep-vein thrombosis is generally thought to be unreliable. From experience, we hypothesised that this widely held view might be incorrect. We developed a clinical model and prospectively tested its ability in three tertiary care centres to stratify symptomatic outpatients with suspected deep-vein thrombosis into groups with high, moderate, or low probability groups of deep-vein thrombosis. We evaluated our clinical model in combination with venous ultrasonography to determine the potential for an improved and simplified diagnostic approach in patients with suspected deep-vein thrombosis. All patients were clinically assessed to determine the probability for deep-vein thrombosis before they had ultrasonography and venography. All tests were performed and interpreted by independent observers. In 529 patients, the clinical model predicted prevalence of deep-vein thrombosis in the three categories: 85% in the high pretest probability category, 33% in the moderate, and 5% in the low category. There was no statistical difference in the performance of the model in the three centres. The model demonstrated excellent interobserver reliability (Kappa = 0.85). There were important differences with ultrasonography between the high and low pretest probability groups for both positive predictive values (100% (95% CI, 94-100%) vs (63% [35-85%], respectively). Thus, use of the clinical model combined with ultrasonography would decrease the number of false positive and negative diagnosis if venography were done when the ultrasound result and pretest probability were discordant. The diagnostic process could be simplified by excluding those patients with low pretest probability and normal ultrasound results from serial testing.

Decision Trees↗