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Practical urodynamics technique and interpretation
FILM
REVIEWS
By Stuart H. Applebaum, Practical Urodynamics Interpret&ion
M.D.
Technique
and
Om P. Khanna, Philadelphia, Pennsylvania This film begins with a discussion of the physiology of miicturition. Neuroanatomy and neuropharmacology involved in micturition are described in depth. The individual urodynamic procedures currently used are discussed: sphincter EMG, cystometry, urethral pressure profilometry, and pressure/flow/EMG. Dr. Khanna’s technique of performing these tests and the interpretation of test results are described. This film is an extensive presentation of clinical urodynamics. It is concise, yet informative. It effectively summarizes the current use of urodynamic tests and the physiologic basis of test results. The urodynamic ihcihties of Dr. Khanna are elaborate and are not well suited to urodynamic testing peribrmaf in the practitioner’s office. In a hospital setting, the urodynamic tests performed by Dr. Khanna’s staff involve more time and expense than the urodynamic tests to which the private urologist is accustomed.
The Diapmsis and Surgical Management Primary Aldosterunism Joseph C. Cerny, Detroit, Michigan
For adrenal exploration, the posterior ilank approach is used with the patient in the prone potition, thus permitting bilateral adrenal exploratbu hould this become necessary. The eleventh and twe&h ribs are resected. In peripherally-located iidosteronomas, partial adrenalectomy is perfbrmeti; total adrenalectomy is reserved for medially-lslaced tumors. Dr. Cerny reports a high degree of sticcess in the cure of hypertension in patients with aldosteronoma. This is an excellent film with good use of &grams and operative sequences. The technique of s&enal surgery is described in detail.
Hematuria (Patient Education FSlms) John W. Coleman, New York, New York This is a descriptive explanation to the lay ptient of the necessity for the workup and treatment of hematuria. The cases of 3 patients are drmratized and their diseases, diagnostic tests, and trealments are explained by diagrams and animation. This film is informative to the layman and makes its point well.
Ultrasound in Urology Bernard Lytton, Martin I. Resnick, Arthur T. Rosenfield, Thomas Sumner, Kenneth Taylor; Winston-Salem, North Carolina, and New Haven, Connecticut.
of
This is m inibrmative film about the diagnosis and treatment of aldosterone-secreting adrenal tumors. Primary aldosteronism is diagnosed by elevated urinary aldosterone levels, decreased plasma renin, normal cortisol excretion, and electrolyte abnormalities. In addition, Dr. Cerny uses adrenal scanning and adrenal venography to preoperatively localize adrenal tumors.
This film is not an in-depth presentation of the interpretation of urologic ultrasound studies, but demonstrates the usefuhress of ultrasonography in various urologic problems. In different clinic41 shown how ultrasound can be used in d interest is Dr. Lytton’s use of an ultrasound probe to locate hard-to-find renal stones intraoperativeiy.
UROLOGI’
3
/
SEPTEMBER
1979
/
VOLUME
XIV,
NUMBER
323
REVIEWS
By Stuart H. Applebaum, Practical Urodynamics Interpret&ion
M.D.
Technique
and
Om P. Khanna, Philadelphia, Pennsylvania This film begins with a discussion of the physiology of miicturition. Neuroanatomy and neuropharmacology involved in micturition are described in depth. The individual urodynamic procedures currently used are discussed: sphincter EMG, cystometry, urethral pressure profilometry, and pressure/flow/EMG. Dr. Khanna’s technique of performing these tests and the interpretation of test results are described. This film is an extensive presentation of clinical urodynamics. It is concise, yet informative. It effectively summarizes the current use of urodynamic tests and the physiologic basis of test results. The urodynamic ihcihties of Dr. Khanna are elaborate and are not well suited to urodynamic testing peribrmaf in the practitioner’s office. In a hospital setting, the urodynamic tests performed by Dr. Khanna’s staff involve more time and expense than the urodynamic tests to which the private urologist is accustomed.
The Diapmsis and Surgical Management Primary Aldosterunism Joseph C. Cerny, Detroit, Michigan
For adrenal exploration, the posterior ilank approach is used with the patient in the prone potition, thus permitting bilateral adrenal exploratbu hould this become necessary. The eleventh and twe&h ribs are resected. In peripherally-located iidosteronomas, partial adrenalectomy is perfbrmeti; total adrenalectomy is reserved for medially-lslaced tumors. Dr. Cerny reports a high degree of sticcess in the cure of hypertension in patients with aldosteronoma. This is an excellent film with good use of &grams and operative sequences. The technique of s&enal surgery is described in detail.
Hematuria (Patient Education FSlms) John W. Coleman, New York, New York This is a descriptive explanation to the lay ptient of the necessity for the workup and treatment of hematuria. The cases of 3 patients are drmratized and their diseases, diagnostic tests, and trealments are explained by diagrams and animation. This film is informative to the layman and makes its point well.
Ultrasound in Urology Bernard Lytton, Martin I. Resnick, Arthur T. Rosenfield, Thomas Sumner, Kenneth Taylor; Winston-Salem, North Carolina, and New Haven, Connecticut.
of
This is m inibrmative film about the diagnosis and treatment of aldosterone-secreting adrenal tumors. Primary aldosteronism is diagnosed by elevated urinary aldosterone levels, decreased plasma renin, normal cortisol excretion, and electrolyte abnormalities. In addition, Dr. Cerny uses adrenal scanning and adrenal venography to preoperatively localize adrenal tumors.
This film is not an in-depth presentation of the interpretation of urologic ultrasound studies, but demonstrates the usefuhress of ultrasonography in various urologic problems. In different clinic41 shown how ultrasound can be used in d interest is Dr. Lytton’s use of an ultrasound probe to locate hard-to-find renal stones intraoperativeiy.
UROLOGI’
3
/
SEPTEMBER
1979
/
VOLUME
XIV,
NUMBER
323