- Sterile Water/Saline in 500cc or 1000cc bags
- Assortment of syringes (5-20cc)
- Needles - 18G for filling transducers/domes/pressure tubings
- Graduated Urine Beaker (GUB) to catch & measure urine
- Gloves, sterile & nonsterile
- Additional catheters appropriate to studies being performed (i.e. UPP, abdominal pressure, etc)
- 4-Way Stopcocks, quantity appropriate to studies being performed
- Alcohol Prep Pads
- Unsterile 4x4 gauze
- 3/4” or 1” tape of choice
- Xylocaine 2% Jelly (optional)
- Gown & sheet for patient cover-up
- Towels & washcloths for clean-up
- Urine dipsticks
- Betadine solution in bottles or packets
- Gauze pads in various sizes (sterile)
- Pan or bowl for collecting residual (CATH) urine
- Catheters (sizes and types appropriate to studies)
- Tray or small table to open sterile supplies
- AS-72A - Administration Set
- APIS - All Purpose Infusion Set
- APT - All Purpose Tubing
- PTTA-C, PTTA-R, PTTA-B – Pressure Transmission Tubings (color coded)
- * Uropump Tubing Assembly (IPTS-, IPTSA-, DIPTS-, IPTS-DC-, DIPTS-DC-)
- ITA (Infusion Tubing)
If using Micro-Tip Catheters or Model 1722/1723 Profilometer:
- Detergent solution recommended by catheter manufacturer
- 2% Gluteraldehyde (I.e., CIDEX®) Solution for disinfection, as recommended by manufacturer
- Sterile water for rinsing
- Boats or pans for Cidex and sterile water
- 20% benzocaine spray (for MALE PATIENTS ONLY, do not spray on mucous membranes)
- 5% lidocaine ointment (for females)
Females: CMG or CMG-P/F
To perform standard CMG (Cystometrogram) and/or P/F (Pressure-Flow) studies on female patients, you will need two catheters:
1. A dual lumen catheter (DLC-6P, DLC-6D, DLC-7D, DLC-9D) is placed in the bladder and used to
- Fill during the filling phase study (CMG)
- Measure pves (vesical pressure) during both the filling and the emptying phases (P/F).
NOTE: The catheter model selected should be appropriate for the patient’s size and the testing being performed. Typically smaller is better, leaving as much of the urethral mucous seal intact as possible, especially when Leak Point Pressure testing is being done.
2. A catheter (RPC-9 / RPC-9P / ERPC-9) is placed in the rectum or vagina to measure abdominal pressure (pabd) during both the CMG and P/F study.
NOTE: It is necessary to measure pabd to obtain the calculated detrusor pressure (pdet).
- Dual lumen catheter of choice
- RPC-9 with 4-way stopcock (4-SCA)
- PTTA-B (Blue/Bladder pressure tubing for pves)
- PTTA-R (Red/Rectal pressure tubing for pabd)
- Two (2) pressure transducers (1880 or 1888MA with 1887M domes)
- AS-72 (fluid administration set) if not using a Uropump to fill the bladder
- or -
Infusion pump tubing set (IPTS-, IPTSA- or DIPTS-) appropriate for model of Uropump in use - EMG electrodes of choice (surface or wire) if performing EMG
Urodynamic Catheter Recommendations
Females: CMG or CMG-P/F w/ UPP
To perform a full capability CMG-P/F, recording three simultaneous pressures (vesical, urethral and abdominal pressure), in conjunction with a UPP (Urethral Pressure Profile) on female patients, you will need two catheters:
1.
A triple- lumen catheter (TLC-7F or TLC-9F, TLCRO-7F or TLCRO-9F) is placed in the bladder and used to
-
Fill during the filling phase study (CMG).
- Measure pves and pura during all studies performed.
NOTE: When performing UPPs, it is critical to use catheters designed for just that purpose. For more detailed information on UPP catheter selections, technologies and set-up please refer to the section UPP Procedure General Information.
2. A catheter (RPC-9 / RPC-9P / ERPC-9) is placed in the rectum or vagina to measure abdominal pressure (pabd) during both the CMG and P/F study.
NOTE: It is necessary to measure pabd to obtain the calculated detrusor pressure (pdet).
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- Triple lumen catheter of choice with 4-way stopcock (4-SCA)
- RPC-9 with 4-way stopcock (4-SCA)
- PTTA-B (Blue/Bladder pressure tubing for pves)
- PTTA-R (Red/Rectal pressure tubing for pabd)
- PTTA-C (Clear pressure tubing for pura)
- Three (3) pressure transducers (1880 or 1888MA with 1887M domes)
- Infusion pump tubing set (IPTS-, IPTSA- or DIPTS-) appropriate for model of Uropump in use to connect to the Fill lumen of the triple lumen catheter
– and –
AS-72 (fluid administration set) on a second, pressurized infusion bag to perfuse the urethral (pura) lumen during pressure measurement - EMG electrodes of choice (surface or wire) if performing EMG
Females: CMG or CMG-P/F w/ UPP
To perform a standard CMG-P/F, recording vesical and pressure, followed by a UPP (Urethral Pressure Profile) on female patients, you will need two catheters:
1. A dual lumen UPP catheter (DLUPP-6P or DLUPP-7D) is placed in the bladder and used to
- Fill during the filling phase study (CMG)
- Measure pves (vesical pressure) during both the filling and the emptying phases (P/F) studies
- Measure pura (urethral pressure) during the UPP
NOTE: A dual-lumen UPP catheter does not have the capability to measure urethral pressure and fill the bladder simultaneously. One of the two lumens in the catheter shares these functions, filling during CMG and transmitting urethral pressure during the UPP. When performing UPPs, it is critical to use catheters designed for just that purpose. For more detailed information on UPP catheter selections/technologies please refer to the section UPP Procedures General Information .
2. A catheter (RPC-9 / RPC-9P / ERPC-9) is placed in the rectum or vagina to measure abdominal pressure (pabd) during both the CMG and P/F study.
NOTE: It is necessary to measure pabd to obtain the calculated detrusor pressure (pdet).
- DLUPP-6P or DLUPP-7D catheter with 4-way stopcock (4-SCA)
- RPC-9 with 4-way stopcock (4-SCA)
- PTTA-B (Blue/Bladder pressure tubing for pves)
- PTTA-R (Red/Rectal pressure tubing for pabd)
- PTTA-C (Clear pressure tubing for pura)
- Two (2) or three (3) pressure transducers (1880 or 1888)
- AS-72 (fluid administration set) to fill the bladder during CMG and perfruse the pura lument during urethral pressure measurement, if not using a Uropump
- Or -
Infusion pump tubing set with damping chamber and restrictor tube (IPTS-DC-LT1 or IPTS-LT2) appropriate for model of Uropump in use - EMG electrodes of choice (surface or wire) if performing EMG
Urodynamic Catheter Recommendations
Males: CMG
To perform standard CMG (Cystometrogram) studies on male patients, you will need two catheters:
1. A dual lumen catheter (DLC-6D, DLC-7D, DLC-9D) or coudé dual-lumen (CDLC-6D, CDLC-7D, CDLC-9D) is placed in the bladder and used to
- Fill during the filling phase study (CMG)
- Measure pves (vesical pressure) during filling.
NOTE: The catheter model selected should be appropriate for the patient’s size and the testing being performed. Typically smaller is better, leaving as much of the urethral mucous seal intact as possible, especially when performing Pressure-Flow studies on male patients.
2. A catheter (RPC-9 / RPC-9P / ERPC-9) is placed in the rectum or vagina to measure abdominal pressure (pabd) during both the CMG and P/F study.
NOTE: It is necessary to measure pabd to obtain the calculated detrusor pressure (pdet).
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- Dual lumen catheter of choice
- RPC-9 with 4-way stopcock (4-SCA)
- PTTA-B (Blue/Bladder pressure tubing for pves)
- PTTA-R (Red/Rectal pressure tubing for pabd)
- Two (2) pressure transducers (1880 or 1888MA with 1887M domes)
- AS-72 (fluid administration set) if not using a Uropump to fill the bladder
- Or -
Infusion pump tubing set (IPTS-, IPTSA- or DIPTS-) appropriate for model of Uropump in use - EMG electrodes of choice (surface or wire) if performing EMG
Males: CMG-P/F
To perform standard CMG (Cystometrogram) followed by P/F (Pressure/Flow) studies on male patients, you will need three catheters:
- Fill during the filling phase study (CMG)
- Measure pves (vesical pressure) during filling.
NOTE: The two-catheter set is designed specifically for this study. The literature recommends using the smallest possible catheter for performing Pressure/Flow studies in males, less than 7Fr. Some labs find success using 6Fr dual lumen catheters, keeping in mind the importance of comparing the maximum flow rate from a properly performed uroflow to the maximum flow rate obtained on the P/F. This is to confirm that the larger size catheter did not further obstruct the urethra.
2. A catheter (RPC-9 / RPC-9P / ERPC-9) is placed in the rectum or vagina to measure abdominal pressure (pabd) during both the CMG and P/F study.
NOTE: It is necessary to measure pabd to obtain the calculated detrusor pressure (pdet).
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- Two-catheter set (FCBP-104 or CFCBP-104)
- RPC-9 with 4-way stopcock (4-SCA)
- PTTA-B (Blue/Bladder pressure tubing for pves)
- PTTA-R (Red/Rectal pressure tubing for pabd)
- Two (2) pressure transducers (1880 or 1888MA with 1887M domes)
- AS-72 (fluid administration set) if not using a Uropump to fill the bladder
- Or -
Infusion pump tubing set (IPTS-, IPTSA- or DIPTS-) appropriate for model of Uropump in use - EMG electrodes of choice (surface or wire) if performing EMG
Males: CMG and UP/UPP
To perform a full capability CMG, recording vesical, urethral and abdominal pressure, with or without a UPP (Urethral Pressure Profile) on male patients, you will need two catheters:
- Fill during the filling phase study (CMG).
- Measure pves and pura during the CMG and during the UPP, if performed.
NOTE: The size of the 9Fr triple-lumen catheters precludes their use to perform Pressure Flow studies. Refer to recommendations for Male P/F studies on the previous page for more information.
NOTE: When performing UPPs, it is critical to use catheters designed for just that purpose. For more detailed information on UPP catheter selections, technologies and set-up please refer to the section UPP Procedure General Information .
2. A catheter (RPC-9 / RPC-9P / ERPC-9) is placed in the rectum to measure abdominal pressure during both the CMG and P/F study. It is necessary to measure abdominal pressure to obtain the calculated pressure pdet (detrusor pressure).
NOTE: It is necessary to measure pabd to obtain the calculated detrusor pressure (pdet).
.jpg)
- Triple lumen catheter of choice with 4-way stopcock (4-SCA)
- PC-9 with 4-way stopcock (4-SCA)
- PTTA-B (Blue/Bladder pressure tubing for pves)
- PTTA-R (Red/Rectal pressure tubing for pabd)
- PTTA-C (Clear pressure tubing for pura)
- Three (3) pressure transducers (1880 or 1888MA with 1887M domes)
- Infusion pump tubing set (IPTS-, IPTSA- or DIPTS-) appropriate for model of Uropump in use to connect to the Fill lumen of the triple lumen catheter
- And –
AS-72 (fluid administration set) on a second, pressurized infusion bag to perfuse the urethral (pura) lumen during pressure measurement - EMG electrodes of choice (surface or wire) if performing EMG
