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What is Urodynamics

What is urodynamics?


This is a study of bladder and urethra activity. It usually involves a series of tests that measures the pressure in the bladder and the flow of urine through the urethra (passage through which urine is passed out of the body from the bladder). It provides information about how much urine the bladder can hold and allows your doctor to assess the efficacy of your bladder in storing and emptying urine.

Sometimes, urodynamics is done together with x-ray screening, where live images produced on a TV monitor show the doctor what is happening when your bladder is filling and emptying. The screening is known as video-urodynamics.

Both routine (without x-ray) and video-urodynamics involve the insertion of very fine catheters (hollow tubes) into the urethra and rectum. The study forms part of the total assessment of your bladder problems from which your doctor can plan appropriate therapy.

 

Who may need this test?

Doctors may recommend urodynamic testing for patients with urinary incontinence or difficulty passing urine. However, not all patients with such problems will require urodynamic testing. The doctor will recommend the appropriate test after an initial assessment.

 

The procedure and what to expect

Upon your arrival, you will be asked to empty your bladder into a uroflow meter that records the volume urinated and how fast you are urinating. A physical examination will be done as part of the study.

If you are coming for video-urodynamics, you will report to the Day Surgery Suite (Level 3) where you will change into a hospital gown.

For routine urodynamics, you will only be required to remove your pants.

Your genital area will first be cleansed. Local anaesthetic gel that also acts as lubrication to ease the passage of catheters will be squirted into the urethra. Fine tubes called catheters are then inserted into your urethra while you lie down on a table. Another catheter will be inserted into your rectum (anus). These catheters, needed for measuring the pressures within your bladder, are connected to a computerised urodynamics machine.

The bladder is filled gradually with sterile saline solution (contrast added in video-urodynamics) through the catheter. While that is happening, you will be asked to describe how it feels.

You may also be asked to cough or strain, and urine might escape involuntarily. This is normal as the activity tests your bladder control.

After the bladder is filled, you will be asked to empty it into the uroflow meter again. This time, the pressure in the bladder is recorded in addition to the speed and volume of urine produced.

The test takes approximately half an hour. At the end of it, the catheters are removed and the doctor will discuss the findings of the test with you.

 

Preparing for the test

  • Please come with a full bladder. Otherwise, you will be given two to three glasses of fluids to drink.
  • Do not go to the toilet on arrival.
  • Do have your usual meals and medications.
  • There is no need to fast for this test.
  • Try to empty your bowel before coming for the test. If you have constipation, please take some laxatives because the test may have to be cancelled if you are badly constipated.

 

After the test

  • You are advised to drink plenty of fluids for the next 24 hours to help flush your bladder to prevent urine infection.
  • Infection is rare, but do seek medical attention if you have symptoms like fever or persistent pain when passing urine. You may experience a bit of discomfort like pain or slight bleeding when passing urine, but it should settle within 48 hours.

Useful phone numbers for patients coming for urodynamics

  • Change of appointment: If you are unable to keep your appointment, or are unwell on that day, please call Specialist Clinic N at tel: 6850-3755 for a new appointment.
  • Enquiries: If you are unsure about the details of the procedure or have any other questions regarding your test, please call Clinical Measurement Unit (Urology Treatment Room) at tel: 6850-2586.

 



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