Module information
Details
- Title
- Urodynamics 1
- Type
- Specialist
- Module code
- S-U-S1-0
- Credits
- 10
- 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
Competencies
| # | Learning outcome | Competency | Action |
|---|---|---|---|
| # 1 | Learning outcome 1,5,7,8,9 |
Competency
Triage referrals and determine appropriateness for requested test |
Action View |
| # 2 | Learning outcome 3,8,9 |
Competency
Set up equipment for a standard urodynamic tests |
Action View |
| # 3 | Learning outcome 4,8 |
Competency
Obtain informed consent, under supervision, for undertaking the following investigations on patients:
|
Action View |
| # 4 | Learning outcome 1,4,5,7,8 |
Competency
Undertake a clinical history for patients referred for lower urinary tract function |
Action View |
| # 5 | Learning outcome 3,4,5,8,9 |
Competency
Place and remove pressure recording lines in preparation for urodynamic tests for both female and male patients |
Action View |
| # 6 | Learning outcome 3,4,5,7,8,9 |
Competency
Perform urodynamic tests for:
|
Action View |
| # 7 | Learning outcome 1,2,4,6,7,8,9 |
Competency
Interpret and report on urodynamic tests for:
|
Action View |
| # 8 | Learning outcome 8,9 |
Competency
Review trace quality for a urodynamic test you have performed |
Action View |
| # 9 | Learning outcome 1,4,5,7,8 |
Competency
Plan and prepare patients for the following procedures:
|
Action View |
| # 10 | Learning outcome 2,4,5,6,7,8 |
Competency
Explain the results of a urodynamic test to a patient under supervision |
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 Communication 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. |
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:
- 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.
- 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.
- Critically evaluate the clinical use of the technologies used in standard urodynamic investigations.
- Interpret data from standard urodynamic investigations.
- 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
Clinical experiences
Important information
Clinical experiential learning is the range of activities trainees may undertake in order to gain the experience and evidence to demonstrate their achievement of module competencies and assessments. The list is not definitive or mandatory, but training officers should ensure, as best training practice, that trainees gain as many of these clinical experiences as possible. They should be included in training plans, and once undertaken they should support the completion of module assessments and competencies within the e-portfolio.
Activities
- Attend a urology clinic.
- Attend a urogynaecology clinic.
- Observe a functional urology surgical theatre session e.g. bulking, continence surgery or TURP.
- Attend a specialist multidisciplinary team meeting.
- Attend a neuromodulation clinic.
- Attend botox clinic.
- Attend a flexible cystoscopy clinic.