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Atlas of Urodynamics
423
VIDEO REVIEWS
CONCLUSIONS: Pyuria is common among chronically incontinent nursing home residents, both in the presence and absence of bacteriuria. Clinicians must therefore be cautious in interpreting the presence of pyuria to indicate symptomatic infection in this population. Using pyuria to determine the need for antimicrobial treatment could result in unnecessary expense and morbidity as well as contribute to the development of resistant organisms in nursing homes. Research is needed t o define pyuria better, to determine its prevalence and relationship to bacteriuria among nursing home residents with symptoms of acute urinary tract infection, and to elucidate the etiology and significance of sterile pyuria in this population. Reprinted with permission from American Geriatrics Society.
Editorial Comment: Pyuria is a poor indicator of urinary tract infections in asymptomatic nursing home residents that should not be used to trigger initiation of antimicrobial therapy. When pyuria persists in the absence of culture documented infection, patients should be evaluated for other causes, such as stones or cancer. In catheterized patients pyuria is common and should not be used to institute any further studies. Anthony J. Schaeffer, M.D.
BOOK REVIEW Atlas of Urodynamics J. BLAIVAS AND M.CHANCELLOR, Baltimore: Williams & Wilkins, 290 pages, 1996 This textbook was written primarily by the 2 editors with the aid of 14 other contributors who are renowned in their fields. The book provides a n all inclusive, comprehensive, well organized overview of a field t h a t has expanded substantially in the last 2 decades. It was primarily written for clinicians with a n interest in the field of urodynamics. The book is divided into 3 parts. The first 2 parts deal with patient evaluation and techniques, and the third part, which deals with diagnosis, is divided into 4 sections that address the major clinical groups of urological conditions in which urodynamic testing has a role, namely section A-neurourology; section B- urogynecology; section C-male voiding disorders, and section D-pediatrics, geriatrics and bladder reconstruction. The authors of the various chapters present the material in a n up-to-date, concise and well illustrated fashion. The contributors are from various medical a n d surgical backgrounds, and different parts of the world, which adds to the richness of the book. Although basic principles are spelled out, the authors avoided the elaborate arguments in physics that have often plagued similar textbooks in the past. The language in which the chapters are written is appealing to clinicians. Similarly the illustrations are clear a n d facilitate the interpretation of the concepts that are expressed. In conclusion, this book provides a n excellent overview of the field of urodynamics in a practical and well illustrated fashion. It covers all areas of interest to clinicians and other health professionals involved in clinical urodynamics. I t is clearly a valuable contribution to the field. Said A. Awad Department of Urology Dalhousie University Halifax, Nova Scotia Canada
VIDEO REVIEWS NOTE FROM THE EDITOR: In this issue we introduce a new feature to the Survey Section, Video Reviews. Dr. Drogo K. Montague, Chairman ofthe Audio-VisualCommittee of the American Urolodcd Association and its Vice-chairman,Dr. Philip M. Hanno, have agreed to review the top 9 videos from the annual meeting of the American Urological Association. The Purpose of this new section is to introduce readers to educational opportunities that they may have overlooked. The reviews Will include information to enable the reader to purchase the video if they wish. We hope that this new addition to the Survey section is well received. If you have suggestions about how this Section can be improved or erpanded please write to me. Patrick C. W&h, MD. Section Editor
VIDEO REVIEWS
CONCLUSIONS: Pyuria is common among chronically incontinent nursing home residents, both in the presence and absence of bacteriuria. Clinicians must therefore be cautious in interpreting the presence of pyuria to indicate symptomatic infection in this population. Using pyuria to determine the need for antimicrobial treatment could result in unnecessary expense and morbidity as well as contribute to the development of resistant organisms in nursing homes. Research is needed t o define pyuria better, to determine its prevalence and relationship to bacteriuria among nursing home residents with symptoms of acute urinary tract infection, and to elucidate the etiology and significance of sterile pyuria in this population. Reprinted with permission from American Geriatrics Society.
Editorial Comment: Pyuria is a poor indicator of urinary tract infections in asymptomatic nursing home residents that should not be used to trigger initiation of antimicrobial therapy. When pyuria persists in the absence of culture documented infection, patients should be evaluated for other causes, such as stones or cancer. In catheterized patients pyuria is common and should not be used to institute any further studies. Anthony J. Schaeffer, M.D.
BOOK REVIEW Atlas of Urodynamics J. BLAIVAS AND M.CHANCELLOR, Baltimore: Williams & Wilkins, 290 pages, 1996 This textbook was written primarily by the 2 editors with the aid of 14 other contributors who are renowned in their fields. The book provides a n all inclusive, comprehensive, well organized overview of a field t h a t has expanded substantially in the last 2 decades. It was primarily written for clinicians with a n interest in the field of urodynamics. The book is divided into 3 parts. The first 2 parts deal with patient evaluation and techniques, and the third part, which deals with diagnosis, is divided into 4 sections that address the major clinical groups of urological conditions in which urodynamic testing has a role, namely section A-neurourology; section B- urogynecology; section C-male voiding disorders, and section D-pediatrics, geriatrics and bladder reconstruction. The authors of the various chapters present the material in a n up-to-date, concise and well illustrated fashion. The contributors are from various medical a n d surgical backgrounds, and different parts of the world, which adds to the richness of the book. Although basic principles are spelled out, the authors avoided the elaborate arguments in physics that have often plagued similar textbooks in the past. The language in which the chapters are written is appealing to clinicians. Similarly the illustrations are clear a n d facilitate the interpretation of the concepts that are expressed. In conclusion, this book provides a n excellent overview of the field of urodynamics in a practical and well illustrated fashion. It covers all areas of interest to clinicians and other health professionals involved in clinical urodynamics. I t is clearly a valuable contribution to the field. Said A. Awad Department of Urology Dalhousie University Halifax, Nova Scotia Canada
VIDEO REVIEWS NOTE FROM THE EDITOR: In this issue we introduce a new feature to the Survey Section, Video Reviews. Dr. Drogo K. Montague, Chairman ofthe Audio-VisualCommittee of the American Urolodcd Association and its Vice-chairman,Dr. Philip M. Hanno, have agreed to review the top 9 videos from the annual meeting of the American Urological Association. The Purpose of this new section is to introduce readers to educational opportunities that they may have overlooked. The reviews Will include information to enable the reader to purchase the video if they wish. We hope that this new addition to the Survey section is well received. If you have suggestions about how this Section can be improved or erpanded please write to me. Patrick C. W&h, MD. Section Editor