Back Module: S-U-S1

Urodynamics 1

Module information

Module details

Title
Urodynamics 1
Type
Specialist
Module code
S-U-S1
Credits
10
Phase
2
Requirement
Compulsory

Aim of this module

Trainees will gain the specialist knowledge and skills required to perform urodynamics investigations.

Trainees will have the opportunity to participate in the investigation of patients with complex urinary tract dysfunction using patient centered practice and evidence-based practice.

Work-based content

Training activities

# Learning outcome Training activity Type Action
# 1 Learning outcome 1,5,7,8,9 Training activities

Triage referrals and determine appropriateness for requested test

 Type Action View
# 2 Learning outcome 3,8,9 Training activities

Set up equipment for a standard urodynamic tests

 Type Action View
# 3 Learning outcome 4,8 Training activities

Obtain informed consent, under supervision, for undertaking the following investigations on patients:

  • Invasive
  • Noninvasive
 Type Action View
# 4 Learning outcome 1,4,5,7,8 Training activities

Undertake a clinical history for patients referred for lower urinary tract function

 Type Action View
# 5 Learning outcome 3,4,5,8,9 Training activities

Place and remove pressure recording lines in preparation for urodynamic tests for both female and male patients

 Type Action View
# 6 Learning outcome 3,4,5,7,8,9 Training activities

Perform urodynamic tests for:

  • Invasive
  • Noninvasive
 Type Action View
# 7 Learning outcome 1,2,4,6,7,8,9 Training activities

Interpret and report on urodynamic tests for:

  • Invasive
  • Noninvasive
 Type Action View
# 8 Learning outcome 8,9 Training activities

Review trace quality for a urodynamic test you have performed

 Type Action View
# 9 Learning outcome 1,4,5,7,8 Training activities

Plan and prepare patients for the following procedures:

  • Standard urodynamics
  • Flowmetry
 Type Action View
# 10 Learning outcome 2,4,5,6,7,8 Training activities

Explain the results of a urodynamic test to a patient under supervision

 Type Action View

Assessments

Complete 2 Case-Based Discussions

Complete 2 DOPS or OCEs

Direct Observation of Practical Skills Titles

  • Set up equipment for an invasive urodynamic test including calibration check and zeroing.
  • Catheterise a patient.
  • Position an abdominal line in a patient.
  • Measure residual volume with an ultrasonic scanner.

Observed Clinical Event Titles

  • Present test findings to the multidisciplinary team.
  • Explain dysfunction of a urodynamic test result to a patient.
  • Obtain informed consent from a patient explaining risk of test.

Learning outcomes

# Learning outcome
1

Identify and assess when urodynamic diagnostic testing is appropriate.
2

Discuss findings and results of tests with the multidisciplinary team and patients to influence treatment plans.
3

Perform urodynamic tests in a range of patients, tailoring application to the patient and answering urodynamic questions.
4

Employ effective, compassionate communication skills with patients and the multidisciplinary team.
5

Demonstrate a practical understanding of anatomy and physiology of the lower urinary tract system.
6

Produce accurate reports for use in diagnosis and treatment of patients with a variety of urodynamic conditions.
7

Apply knowledge of the effects of pharmacological interventions on the lower urinary tract system.
8

Evaluate current practice in line with guidelines and standards and mitigate risks presented to patients and and the multidisciplinary team.
9

Apply the principles of quality assurance and control in urodynamics.

Clinical experiences

Clinical experiences help you to develop insight into your practice and a greater understanding of your specialty's impact on patient care. Clinical experiences should be included in your training plan and you may be asked to help organise your experiences. Reflections and observations from your experiences may help you to advance your practice and can be used to develop evidence to demonstrate your awareness and appreciation of your specialty.

Activities

  1. Attend a urology clinic.
  2. Attend a urogynaecology clinic.
  3. Observe a functional urology surgical theatre session e.g. bulking, continence surgery or TURP.
  4. Attend a specialist multidisciplinary team meeting.
  5. Attend a neuromodulation clinic.
  6. Attend botox clinic.
  7. Attend a flexible cystoscopy clinic.

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. Critically appraise the key requirements for acquiring a clinical history and informed consent from patients using a recommended approach suitable for patients in the urodynamic clinic setting.
  2. Integrate the findings from a clinical history and examination to suggest potential pathophysiology affecting the urinary tract and propose an appropriate choice of standard urodynamic investigation.
  3. Critically evaluate the clinical use of the technologies used in standard urodynamic investigations.
  4. Interpret data from standard urodynamic investigations.
  5. Critically appraise current literature and guidelines to enable the application of evidence-based practice and delivery of patient centered care in the urodynamic clinic setting.

Indicative content

Neuroanatomy:

  • Neuroanatomy pertaining to LUT function
  • Integration of autonomic and somatic nervous systems
  • Basic anatomy of pelvis and pelvic floor

Neurophysiology:

  • Autonomic nervous system and neurotransmitters
  • Neuromodulation, including sacral nerve and posterior tibial nerve stimulation
  • Regulation of micturition reflex

Pathophysiology:

  • Risk factors
  • Pathophysiology, including:
    • Detrusor sphincter dyssynergia
    • Neurogenic detrusor overactivity
    • Spinal injury
    • Bladder diverticula
    • Pelvic organ prolapse
    • Outlet obstruction
    • Cancer
    • Multiple sclerosis
    • Stroke
    • Dementia

Pharmacology:

  • Medications potentially affecting the bladder
  • The use of antibiotic prophylaxis
  • Botulinum neurotoxin
  • Antimuscarinics
  • Serotonin and noradrenalin reuptake inhibitors
  • Antidepressants
  • Antihypertensives
  • Female sex hormones

Introduction to advanced urodynamic techniques:

  • Video urodynamics
  • Ambulatory urodynamics
  • Urethral pressure profile

Module assigned to

Specialties

Specialty code Specialty title Action
Specialty code SPS3-2-22 Specialty title Urodynamic Science [2022] Action View
Specialty code SPS3-2-24 Specialty title Urodynamic Science [2024] Action View
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