What is Urodynamics?

Urodynamics refers to a series of diagnostic tests that evaluate the function of the bladder and urethra. These tests provide important information in order for your physician to accurately diagnose and treat your bladder problems appropriately.

Is Urodynamics right for me?

• Do you suffer from any form of urinary incontinence?
• Spontaneous leakage of urine?
• Leakage during stressful activity (coughing, laughing, running, sneezing or even while sleeping)?
• Not able to make it to the restroom in time?
• Sudden strong urges that may result in leakage?
• Not Feeing empty after urination or frequent urination?

Do you have any of the following conditions?

• Recurring bladder infections or urinary tract infections?
• Atrophy or estrogen loss due to menopause or other conditions?
• Spinal cord or any neurological conditions (multiple sclerosis, Parkinson's, peripheral neuropathy)?
• High blood pressure or diabetes?
• Have you been pregnant and/or had a vaginal delivery?

How to prepare for Urodynamics.

At the beginning of the test you will be asked to urinate, so please arrive for the study with a relatively full bladder, You may eat or drink anything prior to the study. Take your medications as normally scheduled, unless otherwise directed by your doctor. The test typically take about 30 minutes and are generally painless. No anesthesia is necessary. Your friends and family are welcome to accompany you, but will be asked to remain in the waiting area. You will be able to resume all previous activities, including driving, at the completion of the Urodynamics studies. A catheter (soft, hollow tube) or special sensor will be carefully placed your urethra and sometimes your rectum to perform the study. Your bladder will be filled with sterile water and monitored during filling to help pinpoint where you problems stem from. Your physician will decide which of the following tests need to be preformed to help diagnose and treat your condition.

Uroflow

This test measure the speed and amount of urine you void. You should come to the test feeling as though you need to urinate. Try not to empty your bladder one hour before your test. You will be asked to urinate into a commode with a funnel attached to a computer that measures your urine flow.

Cystemotrogram

This study evaluates how your bladder holds urine, measures your bladder capacity, and also determines how well you can control your bladder. Through a catheter your bladder is filled with fluid. In order to reproduce your bladder symptoms, You should report any sensations you fell during the study. In addition, you may be asked to cough, bear down, stand or walk in place during the test. At the end of the study, you will be asked to urinate.

EMG

This test measure how well you can control your sphincter (outlet) muscles and determines if they are working in coordination with your bladder. Electrodes may be place near the rectum to record muscle activity.

Pressure Flow Study

This test determines if there is an obstruction. After your bladder is filled through a catheter, you will be asked to urinate as you normally would. This test may be done sitting on a commode or standing, The study simultaneously records the bladder pressure and urine flow rate.