If you suffer from incontinence which means that you might have urinated without feeling it or wanting to, it is possible that your physician has or will ask you to pass a complex urodynamics test. This technique helps your doctor properly pinpoint and diagnose the cause of your urinary incontinence. Several things are evaluated : the functioning of your sphincters ( the muscles responsible for the exit of urine) , urethra (the conduit where your urine flow outs) and bladder ( the part of your body that acts as a urine reservoir) . The reports that are brought by the patient itself is unreliable to determine an accurate diagnostic. They are accounted for during the diagnostic by the MD, but only a specific test will allow for a proper and efficient treatment.
You can perform urodynamics testing through these methods( note that not all of them may be used by your doctor) :
- Pressure Flow study
- Uroflowometry ( The purpose is to see how fast a patient can empty his bladder.)
- Post-void residual volume study (After a full effort to empty your bladder, a catheter will be inserted to examine how much urine is left.)
- Urethral pressure profile ( Done to evaluate the strength of the sphincter when trying to urinate)
- Multi-Channel cystometrogram ( Done to evaluate the strength of your bladder while urinating)
- Examination of urine under a microscope to determine if there is infection.
The test is usually conducted by urologist, urogynecologists and urology specialist nurses. The most common way is to insert a small tube ( a catheter) inside the patient’s urethra that will be connected to a machine that will read the results wanted. It is possible that the person feels some discomfort and/or slight pain during the procedure. Tylenol taken after the test can help relieve the pain.