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Urodynamic testing or urodynamics is a study that assesses how the bladder and urethra are performing their job of storing and releasing urine. Urodynamic tests can help explain symptoms such as: incontinence [1] frequent urination; sudden, strong urges to urinate but nothing comes out; problems starting a urine stream; painful urination
Some uses of this procedure are: to study the presence of vesicoureteric reflux, study of urethra during micturition, presence of bladder leak post surgery or trauma, and is used in urodynamic testing to assess urinary incontinence. [2] Indications for performing VCUG:
Cystometry, also known as flow cystometry, is a clinical diagnostic procedure used to evaluate bladder function. Specifically, it measures contractile force of the bladder when voiding . The resulting chart generated from cystometric analysis is known as a cystometrogram (CMG), which plots intravesical pressure against the volume of fluid in ...
Cystourethrography is a radiographic, fluoroscopic medical procedure that is used to visualize and evaluate the bladder and the urethra. [1] Voiding and positive pressure cystourethrograms help to assess lower urinary tract trauma, reflux, suspected fistulas, and to diagnose urinary retention.
Urodynamic studies play an important diagnostic role in neurourology. Therapy for nervous system disorders includes clean intermittent self-catheterization of the bladder, anticholinergic drugs, injection of Botulinum toxin into the bladder wall and advanced and less commonly used therapies such as sacral neuromodulation .
A voiding cystourethrography study uses contrast dye to obtain images of the bladder both when it is full and after urination which can show changes in bladder shape consistent with neurogenic bladder. [9] Urodynamic studies are an important component of the evaluation for neurogenic bladder.
At two weeks post-procedure, the practitioner may order a follow-up evaluation including a repeat of the urinalysis with cultures and sensitivities, and a uroflowmetric study (which evaluates the volume of urine released from the body, the speed with which it is released, and how long the release takes)
Additionally, urodynamic testing and a kidney bladder ultrasound are typically performed to assess characteristics of the urinary tract prior to surgery. [20] The urodynamics test should be done within 2 years prior to the procedure and the ultrasound within 1 year. [20]