2025 Urogynecology for the Advanced Practice Provider-Interpreting Urodynamics

Video Transcription

Video Summary

Dr. Leslie Rickey, an associate professor at Yale University and the IRPS Fellowship Director and Vice Chair of Faculty Affairs in Urology, presented a detailed talk on understanding urodynamics. She emphasized the importance of urodynamics in diagnosing patients' symptoms by replicating them during the test to identify underlying causes. Dr. Rickey highlighted that urodynamics can be invasive, and it's crucial to ensure there's a valid reason for conducting the test.<br /><br />The main components of urodynamics include understanding bladder function during filling, storage (cystometry), and voiding. This involves measuring pressures, such as the abdominal leak point pressure and urethral pressure, to assess stress urinary incontinence and other conditions. She shared insights into the interpretation of urodynamic tracings, highlighting how to differentiate between issues like detrusor overactivity and obstruction. Dr. Rickey stressed the significance of interpreting the data accurately and in real-time to guide clinical decisions and treatment plans. Additionally, she discussed the importance of compliance with international standards and proper documentation to ensure meaningful results from the tests.

Asset Subtitle

Understand role of urodynamics in the evaluation of women with lower urinary tract (LUT) symptoms.
Review components of urodynamic testing.
Describe how urodynamic parameters are used to measure LUT function.
Discuss interpretation of urodynamic findings to help guide therapeutic intervention.

Speaker - Leslie Rickey, MD

Keywords

urodynamics

Dr. Leslie Rickey

Yale University

bladder function

cystometry

stress urinary incontinence

detrusor overactivity

clinical decisions

international standards