Definition of urodynamic assessment

Definition of urodynamic assessment

Le with urodynamique consists of performing various tests to assess the functioning of the bladder and its sphincter.

 

Why perform a urodynamic assessment?

The doctor may order a urodynamic test for people who have pain. difficulty urinating, people whose bladder does not completely empty or those who suffer from urinary problems, among others:

  • urinary incontinence
  • interstitial cystitis (bladder disease characterized by pain in the lower abdomen and frequent, overwhelming urge to urinate)
  • urinary tract infection
  • benign prostatic hyperplasia
  • pollakiuria (too frequent urination and low volume)

The exam

The urodynamic assessment includes several tests:

  • La flowmeter : to record the power of the urine stream and the volume of urine.

This involves urinating into a device resembling a toilet, which measures urine flow.

  • La cystométrie (cystomanometry): to record the pressures existing in the bladder when it is empty and when it is filling. For this examination, the patient is in a supine position while the medical personnel insert a thin catheter into the bladder through the urethral canal (outlet duct of the bladder). This probe allows both to fill the bladder with sterile water and to measure the pressure. It is sometimes necessary to measure the activity of the urinary sphincter (muscle used to hold urine) at the same time. For this, self-adhesive electrodes or a needle electrode are used. The examination is unpleasant but not painful.
  • La urethral profiling : which allows to record the pressures in the urethra, by gradually withdrawing the catheter of the bladder which was put in place for the cystometry.

It is recommended that you do not urinate for the hour before the test, so that the bladder has enough urine for the tests.

 

What results can we expect from a urodynamic assessment?

The urodynamic assessment will allow the doctor to locate more precisely the source and the cause of the urinary disorders. Depending on the results, he will choose an appropriate treatment.

When you get home, you may experience some burning or discomfort when urinating. It is recommended to drink abundantly in order to wash out the bladder.

If the discomfort persists, do not hesitate to consult a doctor.

Read also :

Everything you need to know about urinary incontinence

Learn more about cystitis

 

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