Module information

Module details

Title
Advanced Urodynamics
Type
Specialist
Module code
S-U-S3
Credits
10
Phase
3
Requirement
Compulsory

Aim of this module

In this module, trainees will gain the specialist knowledge and skills required to perform advanced urodynamics investigations. They will have the opportunity to perform a range of advanced clinical diagnostic procedures undertaken to investigate the lower urinary tract conditions. They will be involved in triaging and explaining procedures to patients. Trainees will also have opportunities to develop and build their professional practice.

Work-based content

Competencies

# Learning outcome Competency Action
# 1 Learning outcome 1,3,5 Competency

Review patient referrals and determine suitability for two of the following diagnostic tests:

  • Ambulatory urodynamics
  • Urethral pressure profilometry
  • Retrograde leak point pressure
Action View
# 2 Learning outcome 2, 5 Competency

Prepare the room and equipment for two the following diagnostic tests:

  • Ambulatory urodynamics
  • Urethral pressure profilometry
  • Retrograde leak point pressure
Action View
# 3 Learning outcome 1,2,6 Competency

Take a patient history to formulate a urodynamic question for a patient referred for two of the following advanced urodynamic testing:

  • Ambulatory urodynamics
  • Urethral pressure profilometry
  • Retrograde leak point pressure
Action View
# 4 Learning outcome 1,6 Competency

Explain the procedure and obtain written informed consent from a patient for two of the following:

  • Ambulatory urodynamics
  • Urethral pressure profilometry
  • Retrograde leak point pressure
Action View
# 5 Learning outcome 1,2,5,6 Competency

Perform ambulatory urodynamics in a range of patients, including:

  • Urethral catheterisation of a male
  • Urethral catheterisation of a female
  • Placement of rectal line
Action View
# 6 Learning outcome 4,6 Competency

Analyse results, interpret and produce a written report for an ambulatory urodynamic investigation

Action View
# 7 Learning outcome 1,2,5,6 Competency

Perform urethral pressure profilometry in a range of patients, including:

  • Urethral catheterisation of a male
  • Urethral catheterisation of a female
Action View
# 8 Learning outcome 4,6 Competency

Analyse results, interpret and produce written report for urethral pressure profilometry investigation

Action View
# 9 Learning outcome 1,2,4,5,6 Competency

Perform, analyse and interpret results to produce a written report for an retrograde leak point pressure investigation

Action View
# 10 Learning outcome 5 Competency

Perform routine maintenance and calibration of the equipment used in the following investigations:

  • Ambulatory urodynamics
  • Urethral pressure profilometry
  • Retrograde leak point pressure
Action View

Assessments

Complete 2 Case-Based Discussions

Complete 2 DOPS or OCEs

Direct Observation of Practical Skills Titles

  • Set up equipment for an advanced urodynamics test, including calibration check and zeroing.
  • Catheterise a patient appropriate to the test.
  • Set up equipment for an ambulatory urodynamics test, including quality assurance.
  • Carry out a UPP, including quality assurance.
  • Carry out an RLPP, including quality assurance.

Observed Clinical Event Titles

  • Explain clearly the need for an advanced urodynamics test, procedure details and additional procedure risks to a patient.
  • Appropriately address procedure related questions and concerns from patient.
  • Present test findings to the multidisciplinary team.

Learning outcomes

# Learning outcome
1

Identify and assess when advanced urodynamic diagnostic testing is appropriate.

2

Select, plan and perform advanced urodynamic studies understanding their limitations.

3

Illustrate the ability to triage patients, explaining procedures to patients and gaining informed consent.

4

Interpret data and produce high quality reports for advanced urodynamic studies, including being able to differentiate between artefact and physiological events.

5

Evaluate the support, routine maintenance, and calibration procedures for equipment used in advanced urodynamic studies.

6

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

Clinical experiences

Important information

Clinical experiences help you to develop insight into your practice and greater understanding of your specialty. Clinical experiences should be included in your training plan and you may be asked to help organise your experiences. While Clinical Experiences are not assessed, reflections and observations from your experiences can be used to support evidence for competencies to demonstrate your awareness and appreciation of your specialty and it’s impact on patient care. You may find it helpful to capture thoughts from your experiences in your reflective log.

Activities

  1. Attend an andrology clinic
  2. Attend a urology clinic
  3. Observe a functional urology surgical theatre session e.g. AUS, TURP or SNS
  4. Attend a specialist multidisciplinary team meeting
  5. Attend a sphincter EMG clinic
  6. Attend a neuromodulation 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, on the basis of current evidence-based practice, the use of urethral pressure profilometry, retrograde leak point pressure and ambulatory urodynamic studies for the investigation of patients presenting with lower urinary tract conditions.
  2. Apply a critical understanding of the equipment required, routine maintenance and calibration procedures used in ambulatory urodynamics, urethral pressure profilometry and retrograde leak point pressure tests.
  3. Interpret data from urethral pressure profilometry, retrograde leak point pressure and ambulatory urodynamic studies differentiating between artefact and physiological events.

Indicative content

  • Integration of urodynamic knowledge and theory into standard clinical pathways for both males and females
  • Revision of upper and lower urinary tract anatomy and physiology
  • Integration of video fluoroscopy and other imaging techniques into the urodynamic evaluation
  • Pathology
    • Neurogenic lower urinary tract dysfunction, including recognition of dysnergia between the bladder and bladder neck or distal sphincter; the grades of vesico-ureteric reflux and the risk neurogenic bladder poses to renal function and control of incontinence
    • Post-prostatectomy incontinence
    • Idiopathic urinary retention in the female
  • Recurrent UTI Indications for video urodynamic testing
  • Practice standards and guidelines
  • Legislation, radiation protection,
  • IRMIR
  • Surgical treatment of urological disorders (male and female)
  • Role of a multidisciplinary team
  • Sacral nerve stimulation
  • Ambulatory urodynamics
  • Physics of UPP and RLPP

Module assigned to

Specialties

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