URODYNAMICS

 

What to Expect on Test Day

 

Why do I need a urodynamics?
Urodynamics is like an EKG of the bladder.  It is a study that objectively tells us about the function of your bladder.  Causes of urinary frequency, urgency, incontinence, and retention may be identified and evaluated.  We also perform this test on patient’s undergoing reconstructive pelvic floor surgery, or incontinence surgery.

 

This test will tell us more about your functional bladder capacity and how you urinate on a day to day basis.  It will also tell us what happens to your bladder during the filling phase.  Through this test we are able to measure at what pressure you leak urine (helpful to know in order to prepare for incontinence surgery) as well.  The last part of the test is the 2nd voiding portion, where we can measure the pressure at which you urinate, and learn more about your bladder during the voiding phase, and how your kidneys may be affected

 

What do I need to do for the test?

 

  1. STOP ALL ANTICHLOINERGIC MEDICINE ONE WEEK PRIOR TO TESTING (this is detrol, enables, ditropan, vesicare, sanctura, oxytrol).
  2. COME with a comfortably full bladder.
  3. Arrive 15 minutes prior to appointment time.
  4. Allow 1 hour for the test.
  5. Bring an extra pair of cotton socks for your comfort during the test.

 

What will happen during the test?
During the first step of the test, you will be asked to urinate on a special toilet.  This will measure how fast you urinate and how much (this is called a UROFLOW). 

 

The next part of the test is the set up.  A nurse will gently insert a small catheter (half the size of a normal catheter) into your urethra (where you urinate from) and another small catheter into the rectum (please try to have a bowel movement prior to the test).  These will be secured in place with tape.  Small sticky patches will then be placed on your inner thighs or bottom to measure the electrical activity of pelvic floor muscles.

 

Next, with you sitting back, we will begin to fill your bladder with water.  We will then measure the pressure of your bladder during the test.  As the bladder fills, the different pressure measurements will be recorded and you will be asked to cough and bear down to check for any leakage.  You will be asked to identify certain sensations that you might feel during the test.

 

Once you feel your bladder is full, you will be asked to empty your bladder into the special toilet again.  This time you will urinate with the catheters in place.  This will allow us to look at your bladder function while it tries to empty.  This is called a PRESSURE FLOW STUDY.  Then we will measure the amount left in your bladder with a small catheter and you are all done!

 

When will I know the results?
After the physician has reviewed the results of the test and all other pertinent information, they will discuss the results with you (by an office visit).  Then and individualized treatment will be planned for you.

 

 

 

 

 

 Dr. Darlene Gaynor-Krupnick

361 Medical Office Building East

100 Lancaster Avenue

Wynnewood, PA  19096

610-649-6420

 

 

 UROLOGY HEALTH OFFICE LOCATIONS

ABINGTON
1235 Old York Road
Abington, PA 19001
215-517-1100

 

BROOMALL

1974 Sproul Road, Suite 106

Broomall, PA 19008

610-259-3000

BRYN MAWR
245 South Bryn Mawr Avenue
Bryn Mawr, PA 19010
610-525-2515

 

 

HUNTINGDON VALLEY
1800 Byberry Road

Suite 1203
Huntingdon Valley, PA 19006
215-947-4105

 

MEDIA
1088 West Baltimore Pike

HCC II, Suite 2304
Media, PA 19063
610-744-2844

PAOLI
4 Industrial Boulevard

Suite 180
Paoli, PA 19301
610-525-2515

PHILA - CHESTNUT HILL

8815 Germantown Avenue

Suite 46
Philadelphia, PA 19118
215-242-8260

PLYMOUTH MEETING
400 Davis Drive, Suite 200
Plymouth Meeting, PA 19462

215-242-8260

 

WEST GROVE-CHESTER COUNTY
455 Woodview Road, Suite 230
West Grove, PA 19390

610-259-3000

WEST GROVE-JENNERSVILLE
1011 West Baltimore Pike
West Grove, PA 19390
610-869-6851

WYNNEWOOD
100 E. Lancaster Ave, East 361
Wynnewood, PA 19096
610-649-6420

 

CORPORATE OFFICE
140 W. Germantown Pike #250
Plymouth Meeting, PA 19462
484-530-0205

BILLING OFFICE
P.O. Box 1287
Blue Bell, PA 19422
 

       


 SURGERY CENTER LOCATIONS                                                                             UH PROSTATE CANCER CENTER

BROOMALL

1974 Sproul Road
Suite 104
Broomall, PA 19008
610-600-9935

HUNTINGDON VALLEY

1800 Byberry Road

Mason Mills II, Suite 1204

Huntingdon Valley, PA 19006

215-947-4105

PAOLI

4 Industrial Boulevard

Suite 175
Paoli, PA 19301
484-320-7700

CANCER CENTER

400 Davis Drive

Suite 200

Plymouth Meeting, PA 19462

610-825-2151

 

 

Urology Health Specialists, LLC is not affiliated with Universal Health Services, Inc. or UHS of Delaware, Inc.