The Complete Guide to Urodynamics Testing

Posted by Clark Love on Apr 22, 2021 5:30:30 PM

When it comes to diagnosing patients right the first time, urologists, obstetricians, gynecologists, and healthcare professionals who want to improve the services they offer to patients all need to have access to the right testing options for diagnosing specific issues. The same is true when it comes to monitoring the health of the lower urinary system, with urodynamics being the only testing option specifically designed to monitor patient urinary health.

 

What Is Urodynamics?

Urodynamics refers specifically to the study of how the bladder, urethra, and associated sphincters in the body do their job of storing and releasing urine. Urodynamic testing therefore refers to the set of tests that provide healthcare professionals with valuable information on the health and function of a patient’s urinary system.

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Topics: Urodynamics Testing, Reimbursement, outsourcing diagnostics, urodynamics, urodynamics equipment, urodynamics staffing, clinical operations, video urodynamics, urodynamics interpretation, urodynamics service provider, post-void residual, male urodynamics, Pediatric Urodynamics, Uroflowmetry, urodynamics catheters, UroGynecology

Rural Health Clinics (RHCs) Leveraging Urodynamics

Posted by Clark Love on Apr 12, 2021 6:47:28 PM

Urodynamic testing has the potential to provide health care professionals with much more detailed information on the health of their patient’s bladders, urethras, and their body’s ability to store and flush urine. Urodynamics, especially when used in rural health clinics, allows health care professionals to more accurately diagnose causes of urinary incontinence and other issues relating to the bladder and lower urinary system, making it a key service that needs to be integrated into RHC practices.

 

What Is Urodynamics?

Urodynamics along with urodynamic testing, in its simplest form, is the assessment of how the bladder, urethra, and associated sphincters do their job for storing and releasing urine from the body.

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Topics: Urodynamics Testing, BHN, Reimbursement, outsourcing diagnostics, urodynamics, urodynamics equipment, urodynamics training, Reimbursment Trends, urodynamics staffing, clinical operations, urodynamics service provider, urodynamics billing, Medical Practice Operations, Uroflowmetry

Laborie’s New 2020 Urodynamics Equipment: The Good and The Bad

Posted by Dr. Peter Steinberg on Feb 21, 2020 1:48:01 PM

Disclaimer: I have not used the new system myself and relied upon colleagues who have for reviews. Additional information is from review of Laborie’s marketing materials.

Laborie’s new NXT Pro urodynamics (UDS) system has a variety of features designed to make the user operations simpler and more intuitive. In addition, technological enhancements allow automation of several aspects of the exam and Bluetooth connections to monitoring devices.

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Topics: Insider, Urodynamics Testing, urodynamics, urodynamics equipment, urodynamic catheters, urodynamics service provider

Urodynamics: Complications That Can Be Easily Avoided.

Posted by Dr. Peter Steinberg on Dec 31, 2019 7:41:44 PM

Urodynamics (UDS) is a relatively safe office procedure; however, as with any invasive procedure or test, there are risks associated with performing UDS. A few simple steps can help avoid complications in the majority of patients. Most of the complications associated with UDS are related to urinary tract infections (UTI) and the majority of this blog will focus on that. Additional complications include pain, patient anxiety and injury from catheter placement.

 

UTI is the most common serious complication of UDS testing, though the frequency of this is difficult to quantify.1 There are excellent guidelines on this from the University of Michigan1 and the American Urologic Association (AUA) also offers guidance for the prevention of UTI’s associated with UDS.2

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Topics: Urodynamics Testing, urodynamics service provider, Medical Practice Operations

Recent Updates on the Use of Urodynamics in Men

Posted by Dr. Peter Steinberg on Nov 4, 2019 6:29:22 PM

Recently, a large-scale study of men referred to urologists in England for difficulty urinating has published results (Lewis Eur Urol 2019). This trial, called UPSTREAM, recruited over 800 men for two dozen locations across England. In addition to the usual history, physical and baseline evaluation for the voiding issues, some men were randomized to undergoing a urodynamics test (UDS) and the authors have recently reported some of their data.

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Topics: Urodynamics Testing, male urodynamics, Male Diagnostics

Urodynamics: Listen to the Patient or Listen to the Study?

Posted by Dr. Peter Steinberg on Oct 14, 2019 7:12:16 PM

During a urodynamics study (UDS), there are a variety of pieces of data coming in to the urologist and technician performing the study. Information will be obtained that is both subjective and objective in nature and the question is, who do you believe? Do you believe yourself and the objective data you are reviewing? Or, do you believe what the patient is telling you during the study? This blog post will explore this in detail.

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Topics: Urodynamics Testing, urodynamics training, urodynamics interpretation

Additional Diagnostic Tests Commonly Used with Urodynamics (UDS)

Posted by Dr. Peter Steinberg on Sep 25, 2019 6:32:02 PM

Urodynamics (UDS) testing is usually performed in conjunction with a slew of other urologic tests and functions in concert with other diagnostics. This blog post will explore other common tests used in patients who will be having UDS testing and explains the indications and data that come from those other assessments.

            All patients who have UDS will undergo a comprehensive history, physical and laboratory testing. The history will focus on the specific urologic complaints the patient has, but also bowel issues, neurologic disorders and whatever medications the patient is on as well. Surgical history, especially related to urinary tract and anti-incontinence surgery is critical as is diet information. Lab testing will include a urinalysis to search for blood or infection, urine culture if infection is suspected, and many patients will have serum lab testing to assess kidney function.

          

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Topics: Urodynamics Testing, outsourcing diagnostics, urodynamics service provider, Uroflowmetry, Urology Practice Trends, Post-Operative Urodynamics

What is Required for a Urodynamics Tech or Nurse to be Competent?

Posted by Dr. Peter Steinberg on Aug 22, 2019 7:47:49 PM

Since urodynamics (UDS) is a relatively time consuming test, physicians who perform and interpret UDS are reliant on ancillary medical staff to perform much of the UDS study. This role is often performed by a mid-level provider, such as a nurse practitioner (NP), physician’s assistant (PA), registered nurse (RN) and even by a medical assistant or other trained technician (MA). The degree of medical knowledge needed to successfully perform a UDS test does not need to be extensive, hence providers do not need a medical or advanced degree to perform UDS; however, they do need to be proficient in setting the patient up for the test, know the key steps, know how to manage basic artifacts and when to engage the physician during a test.

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Topics: Urodynamics Testing, urodynamics equipment, urodynamics training

Impact of Filling Rates on Cystometry/Urodynamic Studies

Posted by Dr. Peter Steinberg on Jul 2, 2019 2:50:53 PM

As with many of the practical aspects of urodynamics (UDS) testing, the rate at which the bladder is filled during the cystometric portion of the exam influences the test results. Generally speaking, filling during UDS can be at rates below physiologic levels, at physiologic levels or at supra-physiologic levels. There are distinct pros and cons to filling at either physiologic rates or rates above that, while filling at a rate below the natural rate of bladder filling is both inefficient and unnatural.

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Topics: Urodynamics Testing, urodynamics, urodynamics training

Should Urodynamics (UDS) Require Certification for Doctors and Nurses?

Posted by Dr. Peter Steinberg on Jun 18, 2019 6:11:31 PM

As with many aspects of medical practice, a solid training foundation is critical to best practices and the safe delivery of care. When it comes to performing urodynamics (UDS), as with many other procedures, the question of what level of training is requisite to perform UDS appropriately is a reasonable one. And the natural extension of this is whether or not a specific certification process is warranted to perform UDS.

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Topics: Urodynamics Testing, urodynamics, urology, UroGynecology

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