Back Module: S-U-R1

Introduction to Urodynamics

Module information

Module details

Title
Introduction to Urodynamics
Type
Rotation
Module code
S-U-R1
Credits
10
Phase
1
Requirement
Compulsory

Aim of this module

This module will introduce trainees to the specialist practice in Urodynamics.

Work-based content

Training activities

# Learning outcome Training activity Type Action
# 1 Learning outcome 1,2,3,6 Training activities

Attend a urology multidisciplinary team meeting and reflect on the meeting

 Type OTA Action View
# 2 Learning outcome 1,2,3,6 Training activities

Shadow the following professionals and reflect on their role:

  • Urologist
  • Uro-gynaecologist
 Type OTA Action View
# 3 Learning outcome 1,3,5,6 Training activities

Observe a cystometry procedure and reflect on the process

 Type OTA Action View
# 4 Learning outcome 1,2,3,6 Training activities

Follow the pathway for male patients through one of the following and reflect on the patient journey:

  • Overactive bladder
  • Neurogenic
  • Non-neurogenic
 Type OTA Action View
# 5 Learning outcome 1,3,4,6 Training activities

Explore a change to practice standards against and/or recognised guidelines for a specific procedure/patient group and reflect on the impact this will have on practice

 Type OTA Action View
# 6 Learning outcome 1,3,5,6 Training activities

Review the effect of regulation or legislation on medical device usage in Urodynamics and reflect on how this guides practice

 Type OTA Action View
# 7 Learning outcome 1,2,3,6 Training activities

Observe one of the following advanced urodynamics procedures and reflect on the process:

  • Video urodynamics
  • Ambulatory
  • UPP
  • RLPP
 Type OTA Action View
# 8 Learning outcome 1,2,3,6 Training activities

Observe a uroflowmetry procedure and measurement of residual urine and reflect on the process

 Type OTA Action View
# 9 Learning outcome 1,2,3,6 Training activities

Shadow one of the following professionals and reflect on their role:

  • Clinical scientist
  • Uro-Radiologist
  • Clinical nurse specialist
  • Pelvic floor physiotherapist
 Type OTA Action View
# 10 Learning outcome 1,2,3,6 Training activities

Follow the pathway for female patients through one of the following and reflect on the patient journey

  • Overactive bladder
  • Neurogenic
  • Urogynecology
  • Non-neurogenic
 Type OTA Action View

Assessments

Complete 1 Case-Based Discussion

Complete 1 DOPS or OCE

Direct Observation of Practical Skills Titles

  • Apply an appropriate infection control procedure.
  • Set up a uroflowmetry clinic.
  • Perform a bladder scan to measure residual urine volume.
  • Perform a urine dipstick check.

Observed Clinical Event Titles

  • Gather a relevant patient history relevant to urodynamics from a patient, patient representative, or a member of the multidisciplinary healthcare team.
  • Present a patient history relevant to the urodynamics to a member of the multidisciplinary healthcare team.
  • Explain a uroflowmetry test to a patient under supervision.

Learning outcomes

# Learning outcome
1

Explore the contribution of Urodynamics to patient care.
2

Identify the roles and relationships of the multidisciplinary team in Urodynamics.
3

Describe the working practices of Urodynamics.
4

Examine the impact of innovation in Urodynamics.
5

Review the effect of legislation in Urodynamics.
6

Compare and contrast the practice of Urodynamics with other specialties.

Clinical experiences

Activities

Information:

There is no clinical experiential learning associated with this module.

Academic content (MSc in Clinical Science)

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

On successful completion of this module the trainee will be able to:

  1. Apply integrative and detailed knowledge of the male and female urinary system anatomy including nomenclature.
  2. Critically evaluate the principles and practices underpinning routine investigations and procedures used when undertaking testing, diagnosis and measurement of lower urinary tract function.
  3. Identify and appraise the links between Clinical Scientists in urodynamics and other clinical specialisms.

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 medications that act on the lower urinary tract

Terminology:

  • Current International Continence Society terminology relating to LUTS 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

Module assigned to

Specialties

Specialty code Specialty title Action
Specialty code SPS3-2-22 Specialty title Urodynamic Science [2022] Action View
Specialty code SPS3-1-22 Specialty title Gastrointestinal Physiology [2022] Action View
Specialty code SPS3-1-23 Specialty title Gastrointestinal Physiology [2023] Action View
Specialty code SPS3-2-24 Specialty title Urodynamic Science [2024] Action View
Specialty code SPS3-1-24 Specialty title Gastrointestinal Physiology [2024] Action View
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