What Happens During Urodynamics?

Ageing can be fun, but it brings new challenges such as wrinkles, lack of energy and unwillingness to participate in activities. Along with this, there are also functional changes within the body. The most-reported problem is – You might notice that even sneezing can result in involuntary leakage of urine or peeing. These circumstances can be embarrassing, but the good news is that it is treatable. The best urologist in Kolkata suggests Urodynamic testing to diagnose incontinence in urine passage. This test also detects additional urinary tract symptoms, such as infection and blockage, irrespective of male and female. 

So, if your prescription reads urodynamic tests, here’s what you should be prepared for:

What do the urodynamic tests measure?

The most basic purpose of urodynamic tests is to understand the condition of the urinary system, which includes – the bladder, urethra, urine storage, sphincters and presence of infections. 

The test reports give a clear idea about:

  • Nerve and muscle functions are associated with the urinary system.
  • Pressure building within and around the urinary bladder.
  • Urinary flow rates and factors related to urinary discharge.

When does a urologist prescribe urodynamic tests?

  • If there is urine leakage while doing any random activities
  • Following incontinence in urine flow
  • Sudden urges to urinate 
  • Unable to empty a full bladder 
  • Frequent urination (bladder remains full after peeing)
  • Pain urination with a burning sensation
  • Urinary tract infections

What are the primary urodynamic tests?

Urodynamic tests include a combination of tests that are prescribed based on the reported symptoms, such as –

Cystometry 

This test helps to understand and measure the leak point pressure. Catheters are used to measure the pressure inside the bladder to know how much urine it can hold. It also determines the elasticity, and pressure flow and detects abnormal contractions.

Electromyography 

In this test, electrode patches are placed near the urethra and rectum to record the electrical activity of the muscles and nerves associated with the sphincters and bladder.

Uroflowmetry

You have to have a full bladder to proceed with this test. You need to urinate into special equipment that automatically measures the amount and flow rate. This creates a graph that notifies about any changes and detects blockage.

Postvoid residual measurement 

This is measured with ultrasound equipment to understand the amount of urine left in your bladder after you empty it.

Video urodynamic tests

It is a combination of cystometry, uroflowmetry, and X-ray cystography urinary tests. This helps to determine the proper bladder and urethral function and shows the changes in size and shape of your bladder.

How can you prepare for a urodynamic test?

Urodynamic tests do not require any particular preparation routine. You might be asked to change certain fluid intake habits or restrictions on certain medications until the test is complete. 

But, these are just for a few hours before the examination. However, few particular tests require you to keep your bladder full before you come for examination. Or, you might be instructed to drink fluid after arriving at the diagnostic centre— Consult with the best urologist in Kolkata prior to the test.

Is it painful? Are there any risks?

The level of discomfort tends to vary from person to person and lasts for a few hours. Some women reported a slight burning sensation after the test, while others didn’t. You may feel discomfort while peeing after the test. 

So, you are advised to stay hydrated, drink enough water, use a warm damp cloth to dab at the urethral opening to get relief and avoid caffeine for the next 24 hours. Often, prophylactic antibiotics are prescribed to avoid the chances of UTIs. 

There is no risk, but if the level of irritation increases, you must consult with the renowned urologist in Kolkata at ILS Hospitals for a follow-up.