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Manual of Urodynamics
Mayank Mohan Agarwal MBBS MS (Surg) DNB (Surg)
MRCS (Ed) MCh (Urol) DNB (Urol)

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Edition 1/e
Publish Year2014
Size 6.25" X 9.5"
Cover TypePaper Back
With CD/DVD No
Quick Overview
Understanding of urodynamics (UDS), literally a study of dynamics of collection and voiding of urine in lower urinary tract, is essential for any urologist treating patients with lower urinary tract symptoms. It cannot be overemphasized that the term ‘urodynamics’ encompasses simple noninvasive tests, i.e. bladder-diary, uroflowmetry as much as the complex invasive studies, i.e. video urodynamics, electromyography.

For interesting reading, the whole book has been made full of graphs, images, explanations and examples. There is a full chapter on representative clinical cases, in which author has shown how the clinical query was generated and how the appropriately performed UDS could help make clinical decisions.
Key Features
This book is a highly illustrated, descriptive and comprehensive resource for understanding, performing and interpretation of urodynamics. The salient reader-friendly features of this book are:

• Each chapter is full of illustrations, photographs and graphs supporting the text

• Difficulties, errors and artefacts encountered during various urodynamic tests and their troubleshooting have been described lucidly

• Theoretical description has been supplemented with clinical case discussion, wherever appropriate

• A full chapter on clinical cases with a variety of lower urinary tract symptoms-how they presented, what urodynamic query was generated, how the urodynamic study was planned and interpreted, and how did it correlate with the clinical outcome

• Easy-to-understand description and discussion of difficult urodynamic concepts, e.g. full interpretation of Schafer nomogram, CHESS curve, DAMPF and OCO

• Presentation of clinically relevant novel concepts arising out of years of personal experience and thorough research, e.g. PGIMER nomogram for Indian patients, volume-normalized flow rate index and plateau detrusor pattern for the diagnosis of pelvic floor dysfunction.
Target Audience

Akhil K Das, MD(Thomas Jefferson University)


the physiology of the lower urinary tract. This concise guide to using the urodynamic test for the evaluation and treatment of lower urinary tract pathophysiology unveils the mystery of the test and breaks down each component in a clear and succinct manner.


performance of each urodynamic test, troubleshoot problems during the test, interpret the results, and conceptualize the indication for it. The author simplifies the intricacies of the test with accurate illustrations and pictures followed by descriptive text.


The book is designed for urologists, urogynecologists, residents, medical students, and anyone else who performs urodynamics in an office or hospital setting. Although this author is relatively new to the world of urodynamics, his depth of knowledge is clearly evident


The first two chapters discuss the anatomy and physiology of the lower urinary tract, as well as the clinical indications for urodynamic evaluation. The next four chapters present detailed information on the components of the urodynamic test, such as cystometry, uroflow, pressure flow studies, and video-urodynamics. Each one starts off with basic voiding diaries and uroflow testing and progresses further into multichannel video-urodynamics. The next chapter discusses the use of the Whitaker test for obstruction of the upper urinary tract, while the last two chapters contain urodynamic case reviews and proper formatting for documentation on urodynamics. This book has excellent illustrations followed by concise explanation of the findings. The unique features are the illustrations depicting proper tracing patterns of urodynamic studies and the detailed information on how to troubleshoot problems during the study to obtain a more accurate tracing for the best result and, hopefully.

Improve patient outcomes. There are two major shortcomings, however. First, the book is focused on the lower urinary tract, thus the chapter on the Whitaker test, which is rarely used, does not belong in this manual. Second, it could use other examples of urodynamic studies to cover a greater array of lower urinary tract pathophysiology, which would make it even more useful.


This is an excellent, concise manual on urodynamics. It presents the nuts and bolts of how to conduct a urodynamic test properly. It also provides a step-by-step technique for a basic interpretation of the test, and it describes each component of the test clearly and simply. The concise text is augmented by the colorful detailed illustrations and pictures.

Ratings:   Book Image   (3 Stars)
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