Urology Information

[DiaperBigBoy]

I have Urodynamic Test in front of me, if you want know what's on it. please reply. I also have a blog on going. I will have a update soon. Does anyone want to see the questions?

[dlsmd]

Any procedure designed to provide information about a bladder problem can be called a urodynamic test. The type of test you take depends on your problem.

Most urodynamic testing focuses on the bladder's ability to empty steadily and completely. It can also show whether the bladder is having abnormal contractions that cause leakage. Your doctor will want to know whether you have difficulty starting a urine stream, how hard you have to strain to maintain it, whether the stream is interrupted, and whether any urine is left in your bladder when you are done (postvoid residual). Urodynamic tests can range from simple observation to precise measurement using sophisticated instruments.

Uroflowmetry (Measurement of Urine Speed and Volume)

Illustration showing an Uroflowmeter

Uroflowmeter equipment

A uroflowmeter automatically measures the amount of urine and the flow rate (how fast the urine comes out). You may be asked to urinate privately into a toilet that contains a collection device and scale. This equipment creates a graph that shows changes in flow rate from second to second so the doctor or nurse can see the peak flow rate and how many seconds it took to get there. Results of this test will be abnormal if the bladder muscle is weak or urine flow is obstructed.

Your doctor or nurse can also get some idea of your bladder function by using a stopwatch to time you as you urinate into a graduated container. The volume of urine is divided by the time to see what your average flow rate is. For example, 330 milliliters (mL) of urine in 30 seconds means that your average flow rate is 11 mL per second.

Measurement of Postvoid Residual

After you have finished, you may still have some urine, usually only an ounce or two, remaining in your bladder. To measure this postvoid residual, the doctor or nurse may remove it with a catheter, a thin tube that can be gently glided into the urethra. Ultrasound equipment that uses harmless sound waves to create a picture of the bladder can also be used. A postvoid residual of more than 200 mL, about half a pint, is a clear sign of a problem. Even 100 mL, about half a cup, requires further evaluation. However, the amount of postvoid residual can be different each time you urinate.

Cystometry (Measurement of Bladder Pressure)

Illustration showing a catheter inserted into the bladder

Cystometry in a female patient

A cystometrogram (CMG) measures how much your bladder can hold, how much pressure builds up inside your bladder as it stores urine, and how full it is when you feel the urge to urinate. The doctor or nurse will use a catheter to empty your bladder completely. Then a special, smaller catheter with a pressure-measuring tube called a cystometer will be used to fill your bladder slowly with warm water. Another catheter may be placed in the rectum to record pressure there as well. You will be asked how your bladder feels and when you feel the need to urinate. The volume of water and the bladder pressure will be recorded. You may be asked to cough or strain during this procedure. Involuntary bladder contractions can be identified.

Measurement of Leak Point Pressure

While your bladder is being filled for the CMG, it may suddenly contract and squeeze some water out without warning. The cystometer will record the pressure at the point when the leakage occurred. This reading may provide information about the kind of bladder problem you have. You may also be asked to try to exhale while holding your nose and mouth to apply abdominal pressure to the bladder or cough or shift positions. These actions help the doctor or nurse evaluate your sphincter muscles.

Pressure Flow Study

After the CMG, you will be asked to empty your bladder so that the catheter can measure the pressures required to urinate. This pressure flow study helps to identify bladder outlet obstruction that men may experience with prostate enlargement. Bladder outlet obstruction is less common in women but can occur with a fallen bladder or rarely after a surgical procedure for urinary incontinence. Some catheters can be used for both CMG and pressure flow studies.

Electromyography (Measurement of Nerve Impulses)

If your doctor or nurse thinks that your urinary problem is related to nerve damage, you may be given an electromyography. This test measures the muscle activity in the urethral sphincter using sensors placed on the skin near the urethra and rectum. Sometimes the sensors are on the urethral or rectal catheter. Muscle activity is recorded on a machine. The patterns of the impulses will show whether the messages sent to the bladder and urethra are coordinated correctly.

Video Urodynamics

Urodynamic tests may be performed with or without equipment to take pictures of the bladder during filling and emptying. The imaging equipment may use x rays or sound waves. If x-ray equipment is used, the liquid used to fill the bladder may be a contrast medium that will show up on the x ray. The pictures and videos show the size and shape of the urinary tract and help your doctor or nurse understand your problem.

After the Test

You may have mild discomfort for a few hours after these tests. Drinking two 8-ounce glasses of water each hour for 2 hours should help. Ask your doctor whether you can take a warm bath. If not, you may be able to hold a warm, damp washcloth over the urethral opening to relieve the discomfort.

Your doctor may give you an antibiotic to take for 1 or 2 days to prevent an infection. If you have signs of infection—including pain, chills, or fever—call your doctor at once.

Getting the Results

Results for simple tests can be discussed with your doctor or nurse immediately after the test. Results of other tests may take a few days. You will have the chance to ask questions about the results and possible treatments for your problem.

[belinda_sue_fox]

ooo thats alll made up. What the test realy is, is some nurse comes round smells your bed and checks to see if it's damp. Well known scientific fact that

[nappyloon]

DLSMD

That is very interesting and informative, thanks for that info.

"BE HAPPY IN YOUR NAPPY"