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Urodynamic Catheters image

Urodynamic equipment has been around for many years. Today the actual procedure has not changed much. You still need to infuse liquid through a pump into the patients bladder to take measurements. It was not long ago we used carbon dioxide to fill the bladder because it was easy, neat and cheap. But it was not accurate since air was compressible. We were taught that by our big teaching centers. Interestingly enough many of our big teaching centers  still use water perfused catheters.  They still don’t like to use air, they prefer water perfused catheters. But, they have a real secret they are hiding from the Urodynamics community, the other benefit of water perfused catheters is price. The cost of ...

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Uroflow Studies image

Uroflow studies remain important for initial patient work-up.  The uroflow test quickly rules out voiding dysfunction with minimal investment. The Prometheus Group has designed the Morpheus® Uroflow that can run on Laptop or Tablet PC using the USB input, combined with Bluetooth (wireless) load cell. Results include Max Flow, Average Flow Rate, delay time, flow graph, voided volume.  Automatically detects patient flow to start the study and customizable timed stop feature that ends the patient flow study. The reports print in PDF or Microsoft® Word for easy transfer into Electronic Medical Records. Written by Keith Behrends National Sales Manager The Prometheus Group

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Children and Biofeedback image

Did you know that kids can benefit from biofeedback?  A major cause of urinary incontinence and/or frequent Urinary Tract Infections (UTI) in children is dyssynergia or “strain” dyssynergia resulting in  dysfunctional voiding issues.   These learned or acquired mechanisms are characterized by increased striated muscle tone.   Placing surface electrodes on the perianal area and abdomen (accessory muscles) while voiding can help to detect dyssynergia.  While keeping those same surface electrodes in place we can tailor a biofeedback technique for the child to follow along. An animated protocol can be set up specifically for the child, so as to help the child to understand the voiding problem and be able to comprehend a technique to be used during these dysfunctions.  ...

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Urethral Pressure Profile image

A Urethral Pressure Profile indicates the intraluminal pressure along the length of the urethra with the bladder at rest.  This is a Static UPP.  The Maximum Urethral Pressure is the maximum pressure of the measured profile.  The Maximum Urethral closure Pressure is the difference between the maximum urethral pressure and the intravesical pressure.  Otherwise known as PURA-PVES=Urethral Closure Pressure.  Urinary continence depends on the pressure in the urethra exceeding the pressure in the bladder at all times, even with increases in abdominal pressure.  With the catheter placed in the bladder it is withdrawn through the urethra with a slow and steady movement creating a pressure tracing marking the Closure Pressure. Functional Urethral Length is the length of the urethra along ...

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Hospital vs Office Based Procedures (OBP) image

Office based surgical procedures have been on the increase in recent years. Many new procedures are introduce to physicians in the surgery center or operating room setting but are later driven to the office setting based on many factors. One of the most significant incentives to do procedures in-office is the simple fact that the physician can continue to see patients while he or she performs these surgeries during their normal work flow. This correlates to more office revenue and less down time in the OR for the physician waiting on surgical suite availability. In most markets across the country, the financial challenges faced by hospital systems have forced the closings and consolidation of many facilities resulting in fewer available ...

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Interpretation of Urodynamics consist of the 3 C’s and 2 S’s image

Interpretation of Urodynamics consist of the 3 C’s and 2 S’s.  The 3 C’s referring to Capacity, Compliance and Competence of the sphincter.  The 2 S’s referring to Sensation and Stability. Bladder capacity is studied to determine the amount of fluid the bladder holds.  Compliance is the ability of the bladder wall to distend.  The relationship between change in the bladder volume and change in the detrusor pressure is measured.  The EFP or (End Filling Pressure) should be below 15cnH20.   The EFP or (End Filling Pressure) of 40cmH20 or greater may lead to high risk to upper tract.  Competence of the sphincter is the ability of the external striated muscle to hold urine and to relax and release urine.  ...

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The WiCAM® Wireless Camera System is a viable option for office Cystoscopy image

The WiCAM® Wireless Camera System is a viable option for office Cystoscopy Having a medical procedure done in a large hospital can be nerve racking. Having to deal with all the medical drama at a hospital can increase a patient’s stress level, this is why so many physicians are opting to perform more procedures in their offices. Thanks to advancements on the medical front many patients find themselves simply being able to go to the office to have the procedure done. One procedure that a man or woman may have to have done is a cystoscopy and thankfully many doctors are offering an in-office cystoscopy. This procedure is completed to look for any abnormalities in the bladder, stones, inflammation, tumors or ...

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The Morpheus™ System image

As more physicians are diagnosing and treating the entire Pelvic Floor, The Prometheus Group® has developed a system called the Morpheus™.  The system has the ability to perform Pelvic Muscle Rehab, Urodynamics, Anorectal Manometry, Uroflowmetry, Endorectal Ultrasound and Bladder Ultrasound on One Platform.  One patient database, One computer platform, at very cost effective pricing.  Treatments and diagnostic tests can be added anytime in the future.   All reports are generated in PDF or Microsoft Word™ to easily import into Electronic Medical Records. Written by Keith Behrends National Sales Manager The Prometheus Group

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Urodynamics Quality Control image

Urodynamics Quality Control What is a good way to add a form of quality control to your study? The flow cell should be checked at least once a week. The check does not have to be a calibration but a verification. A verification can be performed with a known volume of tap water. So long as it meets manufacturers specifications you should be OK. If it doesn’t than a calibration is recommended followed by a verification. Written by Ira Witriol Sales Manager The Prometheus Group

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