What you need to know about:

Urodynamic Study

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Recovery Period:

No downtime

Permanence:

Not specified

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Time it takes:

30-45 minutes

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Anesthetize:

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Overview of

Urodynamic Study

in Thailand

Urodynamic tests are used to diagnose patients who have urinary incontinence or other lower urinary tract symptoms. It is examination of the overall functions of the bladder, urethra, and sphincter in order to detect and determine the causes and mechanisms of urinary system disorders and incontinence. These tests are given to both men, women and children. Urodynamic tests are used to measure: -Nerve and muscle function. -Pressure around and in the bladder. -Flow rates and other factors. -These tests look at how well the bladder, sphincters, and urethra are storing and releasing urine (pee).

Goals of

Urodynamic Study

To determine whether or not they are functioning and contracting correctly. An urodynamic study will measure the pressure in the bladder while water flows through and out of the bladder. It can also measure the bladder’s ability to store urine, and the patient’s ability to hold and control urination, as well as test for urinary leakage.

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Urodynamic tests typically include:

-Cystometry, leak point pressure measurement and pressure flow study.

-Electromyography.

-Pressure flow study.

-Uroflometry.

-Postvoid residual measurement. -Video urodynamic tests.

Price of

Urodynamic Study

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Pros and cons of

Urodynamic Study

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Cons

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How it works:

Urodynamic Study

An urodynamic study can be carried out through a variety of methods: -Cystometry (CMG) – This is a test that assesses the relationship between bladder pressure and the amount of urine filling the bladder, carried out via a catheter. It also tests the functioning of the sphincter muscles. -Electromyography (EMG) – This examines the muscles and nerves in the pelvic area in cases where the doctor predicts the problem may be related to nerve or muscle damage. Small sensors are placed near the urethra and rectum in order to assess the functioning of bladder muscles and sphincter while water enters and is released from the bladder. -Urethral Pressure Profile – This may be carried out to test the functioning and strength of the urethra, using a catheter with a sensor to record the pressure inside the urethra. Uroflowmetry – This measures the volume, time, and flow rate of urine as it is released from the body in order to assess bladder functions during urination. The patient must urinate through a device placed inside a special toilet which includes equipment that records and calculates information then reports the results to the doctor to be used for further assessment. -Pressure Flow Study or Voiding Pressure Study – This tests the relationship between bladder pressure while urinating and urinary flow rate in order to determine whether there is any blockage of the urethra or whether there is bladder muscle weakness.

Preparation before

Urodynamic Study

Pre - treatment

Patients do not need to make any special preparations prior to testing. Although, certain tests require the patient to drink large amounts of water in order to have enough urine for tests to be carried out. In some cases, patients must refrain from taking certain medications or consuming certain beverages prior to the test. The test usually takes around 2-3 hours to complete. You should be given the results from cystometry and uroflowmetry right then. Results from other tests like electromyograms and video urodynamic tests may take a few days to process. Your healthcare provider with talk with you about the test results and will let you know about next steps.

Recovery of

Urodynamic Study

Post - treatment

You might have mild discomfort or soreness when you urinate. This should only last a few hours. You might even see a small amount of blood due to the catheter. These symptoms might ease up if you drink eight to 16 ounces of water every hour for two hours. Your healthcare provider might also suggest taking a warm bath or holding a warm, damp washcloth over the urethral opening. You might also be told to take over-the-counter pain medication if you need it. ‘ In some cases, your provider might give you a prescription for an antibiotic to prevent infection, but this is not always necessary. However, if you have any symptoms of infection, such as a fever, chills or a lot of pain, you should call your healthcare provider immediately.

Risks & side effects

An urodynamic study is a procedure that poses minimal risks; however, there are some chances of complications, such as urinary tract infection. Because of this, your doctor may prescribe antibiotics to be taken before and after the test in order to prevent and reduce the risk of infection. Therefore, if after the examination patients experience a more frequent urge to urinate, urine that smells unusual, urine that is cloudy or has blood mixed in it, a burning or stinging sensation while urinating, an ability to pass only small amounts of urine at a time, pain in the lower back or sides, or fever, they should see inform their doctor immediately.

FAQs:

Urodynamic Study

Who is suitable for a urodynamic study?

Doctors will consider an urodynamic study for patients experiencing the following conditions: Moderate to severe urinary incontinence Urinary abnormalities, such as frequent urination, urinary retention, difficulty starting a urine stream, etc. Recurrent urinary tract infections Cases where an accurate diagnosis cannot be determined after other testing methods have been proven unsuccessful Cases where urinary incontinence surgery must be performed

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What are the different types of tests done?

Urodynamics testing includes several tests and a doctor will suggest the appropriate tests after going through the symptoms thoroughly. Some of the common tests are uroflowmetry, cystometric test, and electromyography. While uroflowmetry measures the speed and the volume of the urine, a cystometric test measures the pressure that builds in the bladder. Electromyography is recommended when the doctor thinks that the urinary problem is due to nerve or muscle damage. Electromyography measures the electrical activity of the muscles and nerves in and around the bladder.

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What symptoms might prompt my doctor to order urodynamic tests?

These tests are done to diagnose problems in your lower urinary tract. The urinary tract is the body's drainage system for removing wastes and extra fluid. The results of urodynamic testing will help you and your provider find the right treatment. Most urodynamic tests are meant to discover how well the bladder is holding urine and how urine is empty. The bladder should be able to let out urine in a steady manner so that it empties all the way. Your bladder might contract (squeeze) without you wanting it to, which can lead to urine leakage. Your healthcare provider might order these tests if you have: -Any type of urine leakage or incontinence. -Sudden and overwhelming urges to urinate and frequent urination. -Pain when urinating or many urinary tract infections. -Problems starting to urinate or fully emptying your bladder. -Symptoms like these indicate that you might have problems with your lower urinary tract.

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Is urodyanamic testing painful?

You should be given the results from cystometry and uroflowmetry right then. Results from other tests like electromyograms and video urodynamic tests may take a few days to process. Your healthcare provider with talk with you about the test results and will let you know about next steps.

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