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Re: urodynamic testing From: mark decker (mdecker@nconnect.net) Sun Jan 30 14:29:05 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Paul Prior MD: "Re: Vaginal Delivery of twins" Previous message: mark decker: "Re: GYN: LGSIL" In reply to: robipas@freesurf.ch: "urodynamic testing" i do a single channel bladder and urethral pressure profile. calculates out ucp and you get peak bladder and urethral pressures reported so if you want leak point pressures you can use them too. the monitor reads out on graph paper and you can look for spasms. thats as complex as i get <residual volume and capacity and uc checked as well of course>. that's all i do. standard of care from what i have been told. clinically i pick up the ones i am suspicious for urethral incompetence on but i sure don't want a failure and have not done at least this level of testing. my opinion derived from experts at courses i have attended on stress incontinece therapy and surgical repair. mdmd At 01:11 AM 1/28/00 -0600, you wrote: >Dear Colleagues, > >Who of you on the list consider complex urodynamic testing mandatory >before every surgical incontinence procedure? In other words , before >proceeding to a vaginal/abdominal colposuspension procedure do you >always ask for cystometry, urethral pressure profilometry and >uroflowmetry? Who of you rely more on the simple clinical evaluation and >consider urodynamic testing only for unclear clinical cases? Is there >any medicolegal implication in proceeding to surgery without a previous >complex urodynamic testing? Please give me your opinion. > >Rob > >-- >Roberto Pasqualetti, MD >FMH Obstetrics & Gynecology >Via S. Franscini 6 >6710 Biasca >Switzerland > Mark H Decker MD Ob-Gyn Mid West USA Multispecialty Clinic Next message: Paul Prior MD: "Re: Vaginal Delivery of twins" Previous message: mark decker: "Re: GYN: LGSIL" In reply to: robipas@freesurf.ch: "urodynamic testing"

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