• Establish interactive adult learning environment.
• Define pediatric psychology.
• Explain how pediatric urology and pediatric psychology overlap through case presentations provided by presenter and attendees.
• Illustrate how to collaborate with pediatric psychology and provide resources.

• Review the use of a simple ruler-based manometer to measure intravesical home pressures prior to leakage or prior to scheduled drainage.
• Evaluate the ability of PVD to identify patients at low risk for having high bladder pressures measured during urodynamic study (UDS).

Effective and Organ Specific Organ Doses from Videourodynamics in Children
Jean Dearn, Ryan Hsi, Melanie Dean, David Zamora, Kalpana Kanal, Jonathan Harper, Paul Merguerian

• Review studies on Radiation dose from Videourodynamics (VUDS) and potential risk to internal organs.
• Determine levels of radiation exposure from VUDS by calculating estimated entrance skin dose (ESD), ED and testicular and ovarian organ dose; and determine clinical factors associated with radiation.

• Understand the surgical procedures used to create a Mitrofanoff, Mace and Bladder Augmentation
• Demostrate knowledge on how to decrease the risk of developing bladder stones
• Manage stomal stenosis
• Successfully catheterize a Mitrofanoff channel with false passages

Coding Update
Douglas B
Natalie Platcher, RN MSN CPNP

• Review current coding strategies for pediatric urological procedures.

• Review the anatomically-based sexual function issues in this population
• Discuss methods to introduce the discussion of sexuality issues, based on developmental stage
• Identify treatment options appropriate to this population, including future fertility issues

• Define the components of urodynamics
• Discuss appropriate use of urodynamics
• Review documentation of patient history and urodynamic procedure
• Provide hands-on instruction for use of urodynamic equipment

Hands-on Demonstration Stations:

• LABORIE
• Mediwatch USA Inc.
• The Prometheus Group
• Medical Measurement Systems

• Research: Cheryl Baxter, RN, MS
• Education: Ann Marie Berger-Finley, MSN, FNP
• Urodynamics: AnnMarie Hannon, MSN, CPNP
• Biofeedback: Darlenia Andrews, DNP

• The participant will be able to state the classifications of bladder dysfunction according to ICCS definitions.
• The participant will be able to discuss decision making in the care of refractory bladder overactivity children.
• The participant will be able to discuss current therapies and interventions for treatment of refractory bladder overactivity children.