Concord Urodynamics and Pelvic Floor Ultrasound Course
Saturday 26th and Sunday 27th July 2025
Concord Repatriation General Hospital, Sydney, NSW, Australia
Faculty:
Prof Lewis Chan FRACS, DDU (Chair) - Urologist, Concord Hospital
A/Prof Vincent Tse MS FRACS - Urologist, Concord Hospital
Dr Jennifer King OAM FRANZCOG CU - Urogynaecologist, Westmead Hospital
Dr Stephanie The DDU FRANZCOG COGU - Gynaecologist, Westmead Hospital
Dr Tom Jarvis FRACS - Urologist, Prince of Wales Hospital
Dr Audrey Wang FRACS - Urologist, Westmead Hospital
Ms Karina So RN NP - Urology Nurse Practitioner
Course Description:
The Urodynamics Course provides a 2-day structured program in practical urodynamics for clinicians who are starting to perform urodynamics or wish to have an in-depth refresher course about urodynamics. The course comprises a number of modules with lectures, panel discussion and practical hands-on workshop components for clinicians to familiarise themselves with urodynamics setup and equipment. There are 2 Advanced modules on ultrasound hands-on training and advanced interpretation/ management of complex cases for medical practitioners.
Participants will be stratified into small groups based on prior experience for the hands-on stations to maximise learning opportunities and Q&A with faculty.
Participant numbers are strictly limited and expressions of interest should be directed to Jean Mah-Collins, Director, Concord Institute of Academic Surgery Jean.mahcollins@health.nsw.gov.au or Lewis Chan, Head of Urology, Concord Hospital Lewis.chan@health.nsw.gov.au
Learning Objectives
- To acquire knowledge of the principles, indications and interpretation of urodynamic studies
2.To conduct Urodynamic studies according to ICS Good Urodynamic Practice
3.Be able to recognize artifacts and interpret urodynamic tracings for a variety of voiding dysfunctions
4.To be able to use ultrasound as an imaging modality for urodynamics
Course Program
Day 1 Medical Education Centre, Concord Clinical School (Saturday)
Module 1 - Introduction to Urodynamics- Lower urinary tract function/ terminology/assessment (2 hours)
- Introduction to course
- Physiology of lower urinary tract (LUT) function and dysfunction
- Anatomy and physiology of LUT
- Control of micturition
- Classification of voiding dysfunction
- ICS terminology
- LUTS, urodynamics terminology
- Introduction to good urodynamic practice
- Evaluation of LUT function and role of urodynamics
- History, examination, voiding diary, symptom questionnaires, functional testing, imaging/anatomical evaluation
- Indications for urodynamics (panel discussion)
- Principles of Urodynamic testing
- General principles of functional testing, uroflowmetry, PVR assessment, CMG, Voiding Pressure/flow study, EMG, imaging
- Common conditions and urodynamic traces- the textbook cases! (case discussion) - panel
- Q&A
- Morning tea
Module 2 - How to conduct a urodynamic study (3 hrs)
- Urodynamic equipment – catheters, transducers, set up and trouble shooting (20mins)
- How to do a urodynamic study
- Uroflowmetry
- Postvoid residual assessment
- The difficult catheterization- tips and tricks
- Filling cystometry
- Assessment of incontinence – LPP, UPP, tips and tricks
- Assessment of pelvic organ prolapse
- Voiding pressure flow study- male and female including positioning
- EMG monitoring
- Recognising artifacts and how to get out of trouble (case discussion)
- Panel Discussion:
- Caveats in special patient groups including positioning and logistics (neuropaths, wheelchair bound, elderly, anxious)
- Complications of urodynamics- consent issues, prevention and management of complications, training and quality assurance
- Lunch
Module 3 - Imaging (1.5 hours)
- Role of imaging during urodynamics
- Fluoroscopy- techniques, safety, tips and tricks
- Ultrasound – transabdominal and transperineal imaging, case discussions
- The other pelvic organs- gynaecologic/ pelvic pathologies
- Q&A
Module 4 - Practical tips in interpretation of Urodynamic tracings (round table discussion) (2 hours)
- Filling phase abnormalities/ overactive bladder (Detrusor overactivity, poor compliance, increased/decreased sensation, neuropath)
- Assessment of incontinence (female and male, techniques, LPP, PF assessment, tips and tricks)
- Assessment of pelvic organ prolapse (including practical considerations for urodynamics in patients with pelvic organ prolapse)
- Male and Female Voiding dysfunction (Outlet obstruction, Hypocontractile Bladder, Pelvic Floor Dysfunction, DSD)
- Case/ tracing presentations and discussion by participants
Day 2 Hands-on Workshops - Department of Urology, Concord Hospital (Sunday)
Module 5 – Hands-on Workshop – Urodynamics (2 hours)
- Station 1. Setting up and using the equipment
- Different urodynamics equipment, transducers, catheters, lines, zero balancing, troubleshooting
- Station 2. Catheters and tips for difficult catheterization
- Single and dual lumen catheters, asepsis, catheterization techniques
- Station 3. Artifacts and troubleshooting
- Recognition of different artifacts on urodynamic tracings, strategies for dealing with problems during urodynamics
- Station 4. Interpretation of urodynamic traces
- Flow study, Filling cystometry, LPP, Pressure/flow studies, EMG
- Q & A (15mins)
Module 6 – Hands-on Workshop – Ultrasound (3 hours)
- Principles of ultrasound (US equipment, transducers, image optimization principles and artifacts)
- Hands on Scanning Stations 30 mins per station (live models)
- Station 1. Image optimization using machine controls
- Transducers, machine settings and controls, tips for image optimization
- Station 2. Imaging of bladder
- Transabdominal imaging of bladder, imaging planes, pelvic anatomy, volume measurements
- Station 3. Imaging of kidneys
- Techniques of renal imaging, imaging planes, anatomy, renal pelvis measurements
- Station 4. Pelvic floor imaging (transperineal, transvaginal)
- Technique of transperineal and transvaginal imaging, pelvic anatomy, dynamic assessment of pelvic floor
- Tips for ultrasound imaging during urodynamics
- How to choose ultrasound equipment
- Lunch
Module 7 - Advanced interpretation of urodynamics and complex cases (case discussions) (2.5 hours)
- Complex storage and voiding dysfunction – including pelvic floor dysfunction, combined urinary incontinence and pelvic organ prolapse
- The neuropath – urods in SCI, spina bifida, CVA, Parkinsons
- The older, frail patient – hypocontractile bladder, combined DO and hypocontractility
- The paediatric patient – neuropath, voiding dysfunction
- The patient with mesh complications - including pain
- Evidence based medicine- what does the literature say about utility of urodynamics?
- Urodynamics reporting – what makes a useful report?
- Conclusion- Q&A and Course feedback
Course Fees
Consultants – AUD $1000
Accredited Trainees in Urology or Gynaecology - $800
Nurse/ Physiotherapist/ Scientist - $600