A series of diagnostic techniques called urodynamic testing are used to evaluate the bladder's and the urethra's performance as part of the lower urinary tract. It offers useful details regarding the holding, filling,...
What is urodynamic testing?
A series of diagnostic techniques called urodynamic testing is used to evaluate the bladder's and the urethra's performance as part of the lower urinary tract. It offers useful details regarding the holding, filling, and emptying of urine. Numerous measurements and tests are carried out during urodynamic testing to assess various facets of urinary system function. Uroflowmetry, Cystometry, Pressure Flow Study, and Electromyography are few examples of these examinations.
Types of Urodynamic Tests
To assess how well the urinary system works and behaves, a variety of urodynamic tests can be carried out. Here are a few typical urodynamic test types:
- Uroflowmetry: This test assesses the volume and flow rate of urine during urination. The patient defecates into a unique device that measures the volume and flow rate. It offers details on the strength and consistency of urine flow.
- Cystometry: By measuring the bladder's capacity, compliance (ability to expand), and pressure variations during filling, cystometry assesses bladder function. The bladder is filled with sterile fluid using a catheter, and the pressure inside the bladder is then calculated. This test aids in evaluating bladder capacity and spotting anomalies like an overactive or underactive bladder.
- Pressure Flow Study: During this test, the pressure and flow rate of urination are measured. It assists in identifying any obstructions or problems with urine flow. In order to evaluate the relationship between pressure and flow during voiding, catheters are inserted into the bladder and the rectum (for measuring abdominal pressure).
- Urethral Pressure Profile (UPP): This test determines how much pressure is present in the urethra at rest and when performing various actions like coughing or squeezing. It offers details about the health and performance of the urethral sphincter, which aids in regulating urine flow.
- Electromyography (EMG): EMG measures the electrical activity of the urogenital muscles, including the sphincter and bladder muscles. It aids in assessing how these muscles' coordination and functionality.
- Video Urodynamics: Cystometry and real-time fluoroscopy or video imaging are used together in the test known as video urodynamics. It enables simultaneous visualization of the bladder's filling and emptying processes, giving more in-depth knowledge of the urinary system's dynamics and anatomy.
Urodynamic Test Preparation & Procedure
Depending on the precise tests being performed and the protocols followed by the medical facility, different preparation and procedure steps may be required for urodynamic testing. Nevertheless, the following provides a general overview of the setup and method for urodynamic testing:
Preparation:
- Consultation: Make an appointment with a medical professional, typically a urologist, who will evaluate patient’s symptoms, review medical history, and decide whether urodynamic testing is necessary. Giving accurate information about any medications patient is taking and any underlying medical conditions is crucial.
- Hydration: Follow the healthcare provider's instructions and drink enough water before the test. To ensure a comfortable and accurate test, they might advise consuming a certain volume of water or other liquids.
- Medication Modification: Comply with any pre-test medication modifications recommended by doctor. It may be necessary to temporarily stop or adjust the dosage of some medications, such as diuretics or drugs that affect bladder function.
- Track of Urination Pattern: Keep a voiding journal for a day or two prior to the test. Keep track of urination patterns, the volume of urine passed, any episodes of urinary urgency, any leakage, and any other symptoms experienced.
- Empty Bladder: In order to ensure accurate measurements during the procedure, it is typically advised that patient must completely empty the bladder prior to the urodynamic test.
- Clothing That Is Loose and Comfortable: On the day of the test, dress comfortably. Wearing clothing that is easily removed can be helpful because the patient might need to undress completely.
Procedure:
- Explanation: Any queries or concerns one may have will be addressed by the healthcare provider, who will also go over the procedure and the tests involved.
- Catheter Insertion: A small, flexible catheter will be inserted through the urethra into the bladder. Although there may be some discomfort, most people can tolerate this.
- Catheter placement: A measuring device that records the pressures inside the bladder is connected to the catheter. Depending on the specific tests being performed, additional catheters or sensors may be inserted into the rectum or vagina to measure abdominal or urethral pressures.
- Filling Phase: The bladder is gradually filled with sterile fluid during the filling phase, and the patient will be asked to report any bladder fullness, urgency, or leaks he/she may feel.
- Voiding Phase: The healthcare provider may ask patient to urinate while the catheters are still in place so they can monitor the pressure and flow rate.
- Test finalization: The catheters will be taken out after the required information has been gathered, marking the test as finished. The patient might be instructed to urinate before leaving the medical facility.
What happens after a urodynamic test?
Following a urodynamic examination, the following typically occurs:
- Catheter Removal: The medical professional or nurse will take out any catheters used during the test. In general, this procedure moves quickly and shouldn't be particularly uncomfortable.
- Discomfort and Urinary Symptoms: Immediately following the procedure, the patient might feel a little lightheaded or have some urinary urgency. This is typical and ought to get better on its own in no time. It is important to let the healthcare provider know if symptoms are persistent or getting worse.
- Results and Follow-Up: The healthcare provider will analyse the urodynamic test's recorded data. They'll explain the findings and give the patient a thorough evaluation of how well the urinary system is functioning. Additional diagnostic tests or treatment options might be suggested based on the results.
- Resuming Regular Activities: After the test, one can typically resume his/her regular activities. Unless the doctor advises otherwise, there are typically no specific restrictions.
- Reporting Symptoms: It's critical to get in touch with the healthcare provider right away if the person notice any new or worsening symptoms, such as increased pain, a fever, or trouble urinating. They will be able to address any worries and offer the proper guidance.
Urodynamic Test Price
Depending on the location, the hospital or diagnostic facility, and any additional services provided, the price of urodynamic testing in Delhi can range from about Rs. 2,000 to Rs. 8,000 or more. It is important to remember that the costs mentioned here are merely estimates and subject to wide variation.
Best Diagnostic Centre for Urodynamic Test in Delhi
One of Delhi's top diagnostic facilities for urodynamic testing is the Ganesh Diagnostic and Imaging Centre. They have a solid reputation for offering top-notch diagnostic services, and they focus on urodynamic testing while providing thorough urological evaluations. Modern technology and facilities are available at Ganesh Diagnostic and Imaging Centre to guarantee precise and dependable test results. They have a group of skilled urologists, medical personnel, and technicians who are adept at carrying out urodynamic tests precisely and expertly.
The centre prioritizes the comfort and convenience of its patients, creating a welcoming environment and making sure that the testing procedure is as easy and hassle-free as possible. In addition to addressing patient’s concerns and offering support during the testing process, the staff at Ganesh Diagnostic and Imaging Centre is renowned for providing compassionate and individualized care.
