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6 - Ambulatory urodynamic monitoring
- By Kate Anders, Ashford and St Peter's Hospital Trust, Philip Toozs-Hobson, Birmingham Women's Hospital
Edited by Ranee Thakar, Philip Toosz-Hobson, Lucia Dolan
Book:

Urodynamics Illustrated

Published online:

05 February 2014

Print publication:

01 October 2011, pp 67-80
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Summary

Ambulatory urodynamic monitoring (AUM), using micro-tip pressure transducers and a digital solid-state recorder, is a useful additional test for women in whom conventional urodynamics fails to reproduce or explain the lower urinary tract symptoms of which they complain. This system allows information to be recorded digitally, downloaded and reviewed at the end of the test. AUM is performed in accordance with the International Continence Society (ICS) Standardisation of Ambulatory Urodynamic Monitoring. The care and observation of a patient undergoing AUM is as important in the diagnosis as the objective measurements and neither should be carried out in isolation. Checks on signal quality are highly important at the start, during the test and again before the test terminates. AUM has a role in monitoring voiding function. It allows women to pass urine in a flowmeter in a private setting as and when they desire.