Introduction to Urodynamic Science (SPS303)

10 credits

Aim of this module

This module will provide the trainee with a generalised body of knowledge that will introduce and underpin the work based rotation in Urodynamic Science. This rotation will enable trainees to gain experience of the range of clinical diagnostic investigations undertaken within Urodynamic Science and the interaction with patients and patient-centred practice. Trainees will be expected to observe a range of routine urodynamic investigations, gain practical skills in setting up and maintaining the equipment used, produce technical reports, explain procedures to patients and gain consent, and develop and build their professional practice.

  1. Set up equipment ready for use in a flowmetry clinic and cystometry clinic.
  2. Perform routine maintenance and calibration procedures on equipment used in flowmetry, residual urine assessment by ultrasound and cystometry.
  3. Gain informed consent, under supervision, from a minimum of five male and five female patients for flowmetry, residual urine assessment by ultrasound, and filling and voiding cystometry.
  4. Produce written technical reports from a range of routine urodynamic investigations, including flowmetry, residual urine assessment by ultrasound, and filling and voiding cystometry.
Number Work-based learning outcome Title Knowledge
1 1,2,3

Control infection risks in accordance with departmental protocols.

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2 2

Carry out routine maintenance and calibration procedures on equipment used in:

  • flowmetry
  • residual urine assessment by ultrasound
  • cystometry.
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3 1

Select suitable technology for the investigation of common lower urinary tract (LUT) symptoms.

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4 1

Set up equipment used for routine investigations in a flowmetry clinic and cystometry clinic.

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5 1,2

Minimise risks and hazards in compliance with health and safety policies.

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6 2

Ensure accurate completion of equipment  maintenance records.

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7 3

Obtain a suitably completed request form, greet the patient and check patient identity.

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8 3

Treat patients in a way that respects their dignity, rights, privacy and confidentiality.

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9 3

Take appropriate action to respond to the specific needs of the patient, as defined by department protocol.

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10 3

Explain the procedure to the patient and address any questions they may have relating to the procedure.

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11 3

Gain informed consent (under supervision).

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12 3

Inform the patient of the procedure for notification of results.

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13 4

Review the results from the test, taking into account artefacts, necessary adjustments of values and planned/unplanned events occurring during the test.

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14 4

Compare the values/traces obtained with the normal range/values related to the procedure.

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15 4

Produce a clear written technical report of the

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You must complete
1 Case-based discussion(s)
1 of the following DOPS / OCEs
Assessment Title Type
Set up equipment ready for use in a Flowmetry Clinic and Cystometry clinic. DOPS
Carry out routine maintenance and calibration procedures on equipment used in Flowmetry, Residual Urine Assessment by Ultrasound and Cystometry. DOPS
Gain patient consent DOPS
An appropriate activity agreed with your Training Officer OCE

Important information

The academic parts of this module will be detailed and communicated to you by your university. Please contact them if you have questions regarding this module and its assessments. The module titles in your MSc may not be exactly identical to the work-based modules shown in the e-portfolio. Your modules will be aligned, however, to ensure that your academic and work-based learning are complimentary.

Learning Outcomes

  1. Recall the anatomy and physiology of the male and female urinary system and describe the parasympathetic and sympathetic and somatic nerve supply in relation to the lower urinary tract and pelvic floor muscles.
  2. Describe the pathophysiology of lower urinary tract disorders and describe conditions including different types of storage and voiding dysfunctions.
  3. Explain the clinical concepts of urethral catheterisation, including infection control and asepsis, and any complications and side effects associated with catheterisation.
  4. Describe anorectal anatomy and pathophysiology.
  5. Describe techniques used in the investigation of the lower urinary tract.
  6. Discuss the types of catheter and the indication for use for urodynamic investigations.
  7. Recognise the range of different types of Urodynamics and the role of each investigation.
  8. Explain the principles of Quality of Life (QoL) evaluation and the use of Patient Reported Outcome Measures (PROMs).

Indicative Content

Anatomy and physiology

  • Structure and function of the urinary tract, including the upper and lower urinary tract
  • Anatomy of the urinary bladder, the bladder neck and urethra
  • Anatomy of the pelvic floor complex, including the pelvic floor muscles
  • Anatomy of the anorectum, including the anal sphincters

Neurophysiology

  • Somatic, parasympathetic and sympathetic nerves
  • Concept of neurotransmitters in relation to the lower urinary tract

Pathophysiology

  • Risk factors
  • Pathophysiology of lower urinary tract symptoms, including:
    • types of incontinence
    • voiding problems and associated lower urinary tract symptoms (LUTS)

History taking

  • Pathophysiology of the lower urinary tract and LUTS to be able to focus history taking on urodynamics
  • Explain and interpret frequency/volume charts to relate these findings to the symptoms

Pharmacology

  • The effect of:
    • antimuscarinics
    • alpha blocking agents
    • alpha 5 reductase inhibitors
    • other medication that acts on the lower urinary tract

Terminology

  • Current International Continence Society terminology relating to lower urinary tract symptoms and urodynamic diagnoses

Device design and technology

  • Types of urodynamic equipment available
  • Safe storage and handling of catheters and transducers
  • Electrical safety of equipment
  • Different types of urodynamic investigations and the role for each

Catheterisation technique and complications

  • Environmental requirements and considerations
  • Equipment required
  • Documentation required
  • Cessation of medication
  • Complications and their significance

Follow-up

  • Data upload
  • Equipment and personnel
  • Clinic design
  • Databases and patient records
  • Patient support material
  • Emergency equipment
  • Troubleshooting
  • Optimal monitoring procedures
  • Principles of outcome measurement and QoL evaluation
  • Role of PROMs

Associated regulations

  • Conduct of clinical trials