Urodynamics is a specialised bladder function test that measures how the bladder stores and releases urine. It involves filling the bladder and recording pressure responses during different activities.

Urodynamics is the name given to a number of tests designed to show how your bladder functions.

This is a specialised test to identify the cause of incontinence. It involves a 45-50 minutes test, performed in the rooms. Patients can drive home after the test.

Results from the Urodynamics tests allow your doctor to demonstrate the reason why you have the symptoms you have and then offer you the best treatment for your problems.

The main test is called cytometry, which measures your bladder’s ability to store and pass urine.

You are normally asked to attend for the tests with a comfortably full bladder. The procedure takes approximately 45 minutes and does not require any dieting or fasting. No anaesthetic is required. On the day of the test, wear separates (i.e. a skirt or trousers and shirt), as you will need to remove your lower clothing.

Mentioned below is a detailed description of the test to avoid any surprises. Overall patient feedback received tells that the actual test does not feel as invasive as it reads below.

• The test is conducted by our very experienced female nurse– Deb.

• You will be asked to pass urine into a special toilet seat placed in the consulting room to measure how quickly your bladder is able to empty itself. You may have a bladder scan immediately after you have passed urine to assess how well your bladder has emptied.

• Following this, a small plastic tube called a catheter will be inserted into your bladder to fill the bladder with fluid. Two fine soft catheters (sensors) will also be inserted, one into the bladder and the other into the vagina or rectum (back passage).  These lines will record pressures measured in your bladder and abdomen.

• During the procedure you will be asked questions about the sensations in your bladder. You will also be asked to do some of the things which might trigger the problem you have (e.g. cough, strain, jog, stand up, or listen to the sound of running water).  Let the person doing the test know when your bladder feels full.

• Finally, you will be asked to empty your bladder again, in the same special toilet seat with the two fine sensors still in place. The sensors are then removed, and the procedure is complete, and you can get dressed.

While passing urine, a little stinging sensation may remain for a day after the test, but if you think that you have developed a urine infection, please let your doctor know.  The results of the test are usually available immediately and will be discussed with you so that your treatment can be planned.

The test is performed in our clinic.

‍Not everyone with bladder symptoms will need to have Urodynamics testing.  If simple conservative management such as altering your fluid intake, exercises and/or medicines fails, then Urodynamics is the best way to properly measure your bladder function and plan treatment to your particular problem.

‍ ‍

No matter how carefully the test is performed urine infections can sometimes occur after the test.  You should drink more water than usual for a day or two to flush out any bacteria. You may be advised to take antibiotics for a short period of time after the test to prevent any infection.

Pelvic Floor Physiotherapy aims to improve pelvic floor function through exercises of muscles that are involved with urinary and bowel function, lifestyle modifications, education and hands on treatment to decrease or eliminate symptoms.

https://ranzcog.edu.au/womens-health/patient-information/