URODYNAMIC TESTING
Please note, that it is the patient’s responsibility to check with their insurance to see if a referral is needed.

On the day of your test, please bring your bladder diary (if your doctor requested you fill one out), and come with a comfortably full bladder. If you are prone to urinary tract infections and feel that you may currently have an infection, contact our office. Urodynamic testing is not performed on those with an infection. You will need to have a urine culture, pending culture results the proper antibiotic will be prescribed. After the infection is cleared, we can reschedule your test.

Urodynamic testing is not painful and does not involve the use of sedatives or anesthesia. So you will be able to drive yourself home after the test. Make sure you eat a normal breakfast or lunch and have something to drink before the test. There is no need to fast. Please arrive to your appointment with a comfortably full bladder. The testing takes about an hour to complete.

What to expect during Urodynamic testing:
Uroflow study – a uroflow study is a simple voiding test. We will ask you to sit on a special commode and empty your bladder in private, (this why it is important for you to come to the test with a comfortably full bladder.) This study collects information on how to empty the bladder.

Post-void Residual and Urine Dipstick – after the uroflow, a small catheter is placed inside the bladder to remove any remaining urine. By passing this small catheter we can empty the bladder completely for the start of your study, check to see how well you’ve emptied your bladder and finally test the urine for infection prior to placing the urodynamic catheters.

Filling study – we will than place the equipment for the actual urodynamic test
1. Bladder- a thin catheter will be placed into the bladder. This catheter both fills the bladder and takes pressure measurements for with in the bladder.
2. Rectum or vagina- a second catheter will be placed into the vagina (or rectum if there is a prolapse). This catheter measures pressure from the abdomen.
3. Three small gel pads or electrodes then are placed (one on the leg and tow near the anus). These pads measure electrical activity in the pelvic floor. You will not feel any shocks, buzzes etc.

Once the catheters are in place there should be very little discomfort. It may take a minute or two to make sure that the catheters care calibrated sufficiently. As the bladder is filled with sterile water, we you when you feel you bladder filling, when you feel comfortable full, and when you feel like you need to use the bathroom. We may ask you to cough and bear down to see if you leak urine. Please do not be embarrassed if you leak urine during the test. We need to reproduce your symptoms of leakage to gain a better understanding of how your bladder works.

After the completion of the testing, you will be taken to a private room where the physician will discuss the results with you as well as any further recommendations.
SERVICES

INCONTINENCE
Mid urethral fascial slings
Rectus fascial slings
Urethral bulking agents
Sacral neuromodulation
Botox
Pessaries

PROLAPSE
Vaginal prolapse
Abdominal prolapse
Robotic repairs
Pessaries

RECTOVAGINAL & VESICOVAGINAL FISTULA REPAIRS

FECAL INCONTINENCE
Interstim (sacral neuromodulation)
Anal sphincter repair

URETHRAL DIVERTICULUM

VAGINAL MESH COMPLICATIONS

VOIDING DYSFUNCTION