Urology Austin

Urodynamic evaluations offer faster diagnosis for urinary incontinence

Urodynamics are a means of evaluating the pressure-flow relationship between the bladder and the urethra for the purpose of defining the bladder’s function and efficiency, and the status of the lower urinary tract. The benefit of using urodynamics is a faster, more precise diagnosis of which type of incontinence a patient is be experiencing.  Many times people are not exactly sure and cannot explain their symptoms to the physician. Urodynamics can take the guess work out of the equation, offering more precise information, shortening the time it takes to correctly diagnose and treat the issue.

Urodynamics studies range from simple uroflow evaluation to more complex types of studies.

The most sophisticated study is video urodynamics, which offers the most detailed evaluation of a patient experiencing incontinence. In this study, the physician will obtain information including uroflow, urine volume, abdominal leak point pressure, and pressure-flow information, among other things.   The fluid medium for video urodynamics is radiographic contrast.    Because of the use of radiographic contrast, video urodynamics studies are expensive and not without risk.  Patients should talk to their doctors to determine if they are a good candidate for video urodynamics for the diagnosis and treatment planning for their incontinence.

Urodynamics testing may be done when a patient has moderate to severe stress or urge incontinence, and when the cause of incontinence cannot be determined by other tests. If your doctor suspects there may be more than one cause for urinary incontinence, a urodynamics study can really help diagnose the issue and determine the best options for treatment.