- Incontinence Testing
- Preimplantation Genetic Diagnosis
- Women and Infants Center Floor-by-Floor
- Private Continuing Care Nursery (CCN) rooms
- A public area, overlooking the Limbaugh Park of Hope, with an adjacent chapel and a quiet room
- Family lounges and children's playroom for siblings
- A Family Hospitality Center with three family overnight rooms, showers, laundry, a snack kitchen and other family support services
- A multipurpose conference room for professional or family education and meetings
- Homelike labor, delivery and recovery (LDR) rooms with pull-out bed for dad or other support giver, flat screen TVs, private bathrooms with showers, and other amenities
- C-section rooms, including one bariatric room
- Space, staff and equipment to care for healthy newborns in post-anesthesia recovery rooms, so that babies born via C-section can stay with mom in the immediate post-surgery recovery period
- Private Regional Neonatal Intensive Care Unit (RNICU) rooms with sleeping space for a family member or support person
- Special RNICU rooms designed for twins and triplets, also with sleep space for a family member
- A lobby and conveniently located family sub-waiting rooms
- Family lounges, playrooms, snack areas, and other comfort spaces
- Clinical support space including formula prep, pharmacy, medication prep, respiratory therapy and clinician work
- Private ante-partum rooms
- Private, family-oriented post-partum rooms
- A post-partum procedure room
- Procedure and holding nurseries (when a new mom needs a nap or a break) with space for more than 40 newborns
- A lactation center
- Newborn audiology services
- A family photo room, family lounge and playroom
- Professional and family education space
- Clinical, nourishment, and professional support space and professional offices
- Private gynecology and gyn-oncology inpatient rooms
- A family lounge and playroom
- A pharmacy suite
- Physician, staff, and patient education/conference rooms
- Consultation and quiet family spaces
- Obstetrics and Gynecology
- Urogynecology and Pelvic Reconstructive Surgery
- Reproductive Endocrinology and Infertility
- Physician offices
- Maternal Fetal Medicine Clinic (High Risk OB)
- Prenatal Genetics Clinic
- Fetal Diagnosis and Care Clinic
- First Trimester Screening Clinic
- Multiples Clinic
- Gynecologic Oncology (Womens Cancers)
- Physician offices
- EBRT Technology
- Advantages of EBRT
- Brachytherapy Technology
- Advantages of Brachytherapy
- Brachytherapy frequently has a shorter treatment period than other forms of treatment.
- Brachytherapy results in fewer or more mild side effects (discomfort near application site) than other forms of treatment.
- Brachytherapy can in some cases be delivered on an outpatient basis.
- Brachytherapy allows for precision application of very high doses of radiation.
- Pterygium-specific Brachytherapy
- LDR Brachytherapy
- HDR Brachytherapy
There are many tests available to help determine the exact causes of incontinence.
These may include urinalysis (examination of the urine) and blood tests to check the cells and various blood components, hormones, and chemicals.
A thin tube is placed inside the urethra to view the inside of the urethra and bladder.
These tests are used to check the function of the lower urinary tract, which consists of the bladder, urethra, and the voluntary and involuntary sphincter muscles. Many of these tests can be done at the same time. Urodynamic tests include:
This test records the amount of urine, the time it takes to urinate, and the speed of the urinary stream. It also tests the ability to start and stop urination, and whether or not it is strong or forceful. The test is performed on a special urodynamic chair. After voiding, a catheter is inserted to see how well you empty your bladder.
Postvoid Residual Measurement
A catheter is inserted after voiding to see how much urine remains in your bladder.
For this test, a very small catheter is inserted to measure bladder pressure at various stages. Fluid is infused through the catheter to test how well the bladder muscle stretches during filling, how well it stores fluid, and how well you empty your bladder. A small tube is placed in the rectum, causing only minimal discomfort, in order to isolate the pressure of the bladder muscle itself.
Electromyography (EMG )
The EMG may be performed at the same time as the CMG. For this test, sensor patches are placed on the skin near the urethra and rectum to test the muscle activity of the external sphincter. Muscle activity is recorded on a machine. The patterns of the impulses will show whether the nerve messages are coordinated correctly.
Video imaging is used to take pictures of the bladder during filling and emptying. The imaging equipment may use x-rays or sound waves. If x-ray equipment is used, the liquid used to fill the bladder may be a contrast medium that will show up on the x ray. The pictures and videos show the size and shape of the urinary tract.
leak point pressure measurement - This test determines the lowest amount of pressure and amount of urine that causes leakage. It is performed as a part of the cystometry study.
Pressure Flow Study
This test follows the cystometry study and measures pressures required to urinate.
Anorectal physiology studies - These tests are used to help us characterize how well you sense a fullness of the rectum, your ability to contract and relax your pelvic muscles, and determine whether there is a tear in the anal sphincter muscle.
This checks the tightness of the anal sphincter and its ability to respond to signals, as well as the sensitivity and function of the rectum. A thin, flexible tube is inserted into the anus and rectum, then a small balloon at the tip of the tube is inflated. Pressure monitors inside the tube transmit the muscle impulses to a graph, similar to an electrocardiogram. The procedure is similar to a female pelvic examination and takes about 15 minutes to perform.
A small, balloon-tipped ultrasound probe is inserted into the rectum. The structure of the anal sphincter can be evaluated from the pictures of the as the probe is moved.
Small sensor patches are placed on the skin near the muscles around the anus to check for nerve damage to the sphincter. This is not painful.
Preimplantation Genetic Diagnosis
Some couples are at increased risk for transmitting genetic diseases to their children. The disorders include hemophilia, Tay-Sach's disease, Sickle Cell Anemia, Cystic Fibrosis, Down's syndrome, and others.
Women over the age of 38 or those with recurrent miscarriage may be at risk for chromosomal abnormalities called aneuploidies. Preimplantation Genetic Diagnosis (PGD) allows the embryologist to screen embryos for these and many other genetic abnormalities.
PGD patients undergo in vitro fertilization to create embryos that will be transferred to the uterus. Once the embryos mature, the embryologist makes a small hole in the embryo's outer membrane using a laser. A single cell is withdrawn for the PGD procedure(s) without damage to the embryo. Each cell contains the complete genetic makeup of the embryo.
The cell is examined for an abnormal number of chromosomes, using fluorescent in situ hybridization (FISH). FISH, enables the embryologist to count chromosomes and often identify other abnormalities.
The polymerase chain reaction (PCR) is used when damage, or disease, is suspected on a particular chromosome segment. The PCR duplicates and amplifies certain chromosome sections so that disorders can be seen.
Some diseases, such as hemophilia, are sex-linked meaning they are transmitted on the X chromosome. Because males have only 1 X chromosome but females have 2, these sex-linked diseases are more apparent in males. Hemophilia is an example of a sex-linked disease, meaning that males are the ones usually affected. FISH can be used to separate male and female embryos, and in this case, only female embryos would be transferred to the mother. The same applies if a chromosomal abnormality is seen using PCR in that only normal embryos would be transferred.
While no procedure is guaranteed to eliminate birth defects, there are many genetic diseases that can be identified using PGD and research continues to expand the list. Using PGD lowers the chances of genetic birth defects.
The main entrance to the Women and Infants Center is located on the ground floor. Valet parking is available during normal business hours. The lobby contains the guest services desk, which is staffed 24 hours a day, a gift kiosk, and a DVD rental kiosk. There also is an emergency delivery and newborn care area.
Continuing Care Nursery
The second floor is dedicated to new and newly expanded families, providing a comfortable and nurturing environment, even when the newest member of the family requires an extended hospital stay. This floor features:
Labor and Delivery
The Women and Infants Center's third floor newborn delivery facility houses the following:
Educational, Faculty and Support Services
The fifth floor is designed for educating families and new health care professionals, supporting quality-of-care research and facilitating other support services.
Ante-Partum and Post-Partum Services
The sixth floor of the Center will provide post-partum care for new moms, with rooming-in and holding nursery services for healthy newborns. The sixth floor features include:
In addition to delivery and infant care, the Women and Infants Center offers inpatient care for women receiving medical and/or post-surgical gynecology and gyn-oncology services, many of which are available nowhere else in the state.
The seventh floor features:
UAB works hard to remain on the technological forefront of our field Some of our most essential technologies are those used in Superficial EBRT treatment. Currently, we are utilizing Superficial EBRT technology at the Hazelrig-Slater Radiation Oncology Center and The Kirklin Clinic at Acton Road.
Superficial EBRT is delivered using our Varian Clinac iX Linear Accelerator. Linear accelerators perform External Beam Radiotherapy treatments such as Superficial EBRT, and total skin irradiation.
Our linear accelerator, the Clinac iX linear accelerator is the most widely selected medical accelerator, and is used to treat thousands of patients around the world every day. The flexibility and ease of modification of the Clinac allows it to be modified quickly and easily to fit the needs of any patient.
The Clinac is designed to deliver a high dose rate of radiation. This reduces the overall number of treatments and the time spent during each treatment.
The Clinac's high degree of accuracy and reliability enables gating and other advanced treatment techniques and ensures that the dose output is the same according to treatment.
The Clinac includes built in safety mechanisms as standard features. This level of automation provides a logical working process for improved efficiency and safety. As a result, therapists can concentrate on explaining the process to the patient. This allows the necessary time to create a true common dialogue and understanding of radiation therapy between physicians, therapists, and patients.
Advantages of EBRT
Superficial ERBT has distinct advantages when compared to other forms of treatment.
Superficial ERBT is painless and can offer excellent cosmetic results when compared to surgical tissue removal. In addition to its excellent cosmetic results, superficial EBRT is much less invasive than the traditional surgical approaches. Older skin cancer patients who take blood thinning medications, patients with large scars or those that want to avoid scars may be candidates for superficial radiation therapy.
Brachytherapy is implemented using the Varian VariSource HDR. This machine uses a relatively intense source of radiation (typically 10 Curie source made of Iridium 192) delivered through temporarily placed applicators.
The source is usually attached to (or embedded in) the end of a wire or cable. The wire drives catheters into applicators that have previously been placed in the patient. The source dwells in a preplanned position for a preset time before stepping along the catheter. This process repeats to create the required dose distribution. By varying the position and dwell time of the radiation source, the dose is neatly sculpted to conform to the shape of the target. The patient typically receives the total dose in a series of 2-10 treatment sessions, also known as fractions.
Advantages of Brachtherapy
Brachytherapy has several distinct advantages when compared to other forms of treatment.
Brachytherapy can treat a wide variety of cancers, including those of the prostate, breast, esophagus, gallbladder, cervix, anus/rectum, extremities, and sarcomas.
A pterygium is a thickening of conjunctiva onto the cornea on one or both sides of the eye. The growth can slowly progress until it seriously impacts vision. A pterygium can be removed by surgery, but it often grows back during the healing process. Using a brachytherapy form of radiation treatments to the affected region of the eye after surgery can prevent the membrane growths from recurring.
The procedure involves up to three treatments, all occurring within a two-week span after your surgery. The radiation is delivered only to the surface of the eye and the dose to the lens of the eye is very low. The procedure is painless. After the procedure, you'll wear an eye patch for about an hour to protect the eye from dust.
With HDR, a catheter or an applicator is precisely positioned in the body, and then small (3mm-long) radioactive iridium seeds are placed inside the device. These radioactive seeds are then applied for as little as just a few minutes to a half hour at most. This places radiation inside or very near the area to be treated. HDR allows radiation doses that are equivalent to those delivered via EBRT in just a few outpatient procedures. It is often done on an outpatient basis, and is appropriate for a number of treatment sites, including gynecological cancers. HDR can be the only therapy used in a patient's treatment or it can be used in conjunction with EBRT and other treatment therapies.
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