what is the rationale, the value, and limitations of urodynamic tests in obs and gyn?

Question

provide details for a trainee in urogynaecology

Answer 1

well i dont know this nut your dr should

Answer 2

http://www.med.umich.edu/1libr/tests/testu16.htm

As a female put through more than one type of this, I can assure you this a a caculated way to reduce or woman's self esteem and tell them if they would only exercise and take some hormone therapy they would be ok.

Generally technicians and nurses handle the procedure. They tell you to drink a huge glass of water or marked liquid. Then they make you wait a while, while they finish up with others and take their breaks. Then they put you in the chair that elevates and has all the asseccories of a PAP exam table. The doctor may or may not be present as they hook you up to a graphing machine and insert a catheter (after using a numbing cream). They insert a camera and tell you the white stuff is scarring or results of a bladder infection. They look around for all causes of incontinence. Then schedule for volume testing, types of incontinence testing, and your ability to expell all but less than 100 ml or 200 ml or whatever they feel like the normal amount should be.
Then they schedule you to talk to the urologist for maybe 10-15 minutes about the results of the test you watched the technician do. It is all pretty subjective, but because of the graphing machine you are suppose to not question the results or the specialist. If you do, you will probably need to find another so they will not hold it against you if/ when you opt for surgery.
They can milk the insurance companies for rehabiltative services for a good 6 months before the operation, if you go the exercise pill route. And in some cases no surgery is needed. This is the better way to go, but I wish doctors were less god-like and more tolerant. They never just say that your condition may not be helped by anything and maybe you should reconsider going to them. Usually the patient will be having re-occuring bladder infections, so they assume you have to come to them for antibiotics and their treatments if you want the antibiotics. Actually, you probably need to change up some sexual behaviours, get rid of a yeast infection and take some mineral and vitamin supplements. Lower your intake of sugars and get active and stay that way.
But most urologist operate on the theory that we all want their attention and that is why we are bothering them.

Beware. Using incontinence diapers or just pads is the easiest way to go and avoids the possibility of adhesions. Operations are usually only partially successful. The pill and exercise options are also only partially successful in most patients. Basically you do need to learn to live with incontenence at some point.
As for the antibiotics they freely hand out during the procedures and for reoccuring infections ... they can have the long term affect of ruining you digestion tract and giving you a constant general yeast infection. Try changing up what you are doing before relying on specialist. Find a doctor willing to allow you to try what you think might work for you if it is reasonable. Why do we have to give them adoration in order to get help?
I am venting. If you are a student, you should do your own research. And be tolerant. This is embarrassing situation and interferes with a persons personal life to such a degree that some psyche courses should be included with the specialty.
A messed up surgery and months of consultations can leave you bitter and not very trusting of any medical professional.

Answer 3

the rational is 56.00.07=28% thx89l.
also it would be klandistine and thyronmime

Answer 4

wouldn't u better off asking ur professor that?

Answer 5

consult your text book.