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
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. ...
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 With the catheter placed in the bladder it is withdrawn through the urethra with a slow and steady movement creating a pressure tracing marking the Closure Pressure.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 ...
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 ...
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. ...
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
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
Introducing a New Pelvic Floor Rehabilitation Course March 13, 2017 – Dover NH – Back by popular demand, The Prometheus Group is excited offer Professional Development Courses for Nurses & Physicians This two day course will provide a comprehensive review of pelvic floor disorders and rehabilitation treatments. Emphasis will be placed on the use of equipment for augmenting these interventions. Presentation of case studies will be part of the course. Course instructor, Diane Newman, DNP, is a Biofeedback Certified Continence Specialist with over 30 years experience. She is an expert in the assessment and management of pelvic-floor dysfunction in men and women. Two locations are currently being offered: June 23-24, 2017 – Hyatt Regency, Chicago IL September 29-30 – Miami ...
360˚Endorectal Ultrasound Endorectal ultrasound is yet another diagnostic tool able to be used in the assessment and management of patients with fecal incontinence. It can detect external and internal anal sphincter defects in these patients confirming what may be seen following an Anorectal Manometry diagnostic study. It can assess and evaluate the structure of the sphincter muscle and surrounding tissue. There is little to no preparation for an Endorectal Ultrasound to be performed. The patient is placed in the left lateral decubitus position. A condom filled with ultrasound conductive gel is placed over the ultrasound transducer and is lubricated with gel and then gently inserted into the anal canal. The 360˚ Endorectal Ultrasound is relatively well-tolerated by most patients. Endorectal ultrasound ...
The positive predictive value (PPV) of diagnostic hysteroscopy vs saline infusion sonography (SIS) for the detection of myomas and polyps in patients with abnormal uterine bleeding (AUB) has long been debated. Most published studies have concluded that diagnostic hysteroscopy and SIS are relatively equivalent diagnostic tools for the detection of intrautine myomas and polyps. Traditional AUB studies have been based on histologic diagnosis established through either dilatation and curettage (D&C) or blind endometrial biopsy but these diagnostic procedures do not detect all endometrial abnormalities. Only hysteroscopy allows for direct visualization of the uterine cavity and abnormalities can be biopsied immediately. The WiCAM™ Wireless Digital Endoscope Camera & LED Light Source is a game changer for the Infertility/Reproductive Health market place. The (SIS) has long been ...
