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Urodynamics

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13/08/2013

What are Urodynamics?

Urodynamics is the name given to a number of tests designed to show how your bladder functions. The main test is called cystometry, which measures your bladder’s ability to store and pass urine.

Why are Urodynamics performed?

Urinary problems, especially incontinence, may affect wom- en of any age. Problems such as these usually increase with age, pregnancy, childbirth and the onset of menopause.  Your symptoms may include:

·      Loss of urine while coughing, sneezing, laughing or  exercising

·      Sudden and/or frequent urge to pass urine

·      Getting up at night frequently to pass urine

·      Recurrent bladder infections

Results from urodynamic tests allow your doctor to demonstrate the reason why you have the symptoms you have, and so offer you the best treatment for your problems.

Are there any alternatives?

Not everyone with bladder symptoms will need to have Urodynamics. If simple conservative management such as altering fluid intake, exercises and tablets fails, then urodynamics is the best way of determining bladder function with treatment tailored to your  individual problem.

Is any preparation required?

You will be asked to attend with a comfortably full bladder, so if possible, please do not pass urine in the hour prior to the test.  The procedure takes about 30 minutes. No anesthetic is required.  On the day of the test you will need to remove your lower garments  and change into a gown.

Are there any risks?

No matter how carefully the test is performed urine infections can sometimes occur.????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????

How is the test performed?

There are several slightly different ways to perform Urodynamics, but the principles are the same. 

·    First we will ask you to perform a series of exercises with a full bladder to see how bad your leakage is

·    You will then be passed to void into a special toilet that measures the bladders ability to empty.

·    We will then insert a catheter to fill up your bladder.  Two fine sensors will be inserted into the bladder and vagina or rectum to measure the pressure in the bladder and abdomen.

·    We will ask you about the sensations that you are experiencing.

·    Finally we will ask you to empty your bladder with the sensors in place.  These are then removed.


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