What to Expect During Your Urodynamic Testing with Dr. Golden

By and large, the term “urodynamics” refers to the study of how your body stores, processes and eliminates urine. Specifically, the functional levels of your bladder, pelvic floor muscles and urethra are measured. Widely used amongst adults and children, this diagnostic procedure will help Dr. Rob Golden come up with an accurate diagnosis and a highly-effective treatment plan for your urinary problems. For more than 3 decades, Dr. Golden has made use of the holistic approach throughout his Spokane Valley Urology practice.

The Urinary System at Work
To have a greater understanding as to how urodynamic testing works, it is best if you have background knowledge of how the components of your urinary system harmoniously work together.

  • Kidneys – this pair of bean-shaped organs processes and produces urine.
  • Ureters – the tubes connecting the kidneys and bladder.
  • Bladder – a muscular organ which houses urine produced by the kidneys. It expands and contracts while holding and emptying urine.
  • Urethra– urine outlet which is normally closed and allows urine to pass outside the body. Urethras in males are relatively longer than that of females.

When your bladder is about to be full, the bladder muscle contracts while the urethra and the pelvic floor muscle relaxes. Apart from these structures, urine elimination is also governed by the complex nerve impulses sent between your brain, bladder and the pelvic floor muscles.

Purpose of Urodynamic Testing
On a whole, urodynamic testing is utilized to help in the diagnosis of the following:
1. Stress urinary incontinence
2. Urge urinary incontinence
3. Mixed Urinary incontinence

Also, any form of surgical procedure involving the urinary system may call for urodynamic testing to ensure that the correct surgery is performed.

What to Expect During Urodynamic Testing
The entire procedure itself will approximately last for 30 minutes. It is important for you to show up with a full bladder.
1. For the first part of the testing, you will be asked to empty your bladder into a special toilet called the flowmeter. The flowmeter will measure the quantity and flow of your urine.
2. Afterwards, you will be asked to lie down on a specially-designed bed and 2 fine tubes (catheters) will be placed into your bladder via your urethra. One of the catheters will fill up your bladder while the other will measure the pressure of your bladder. A third catheter will be inserted into your vagina or rectum to measure the outside pressure of your bladder and to be able to compare it with your bladder inner’s pressure.
3. Sterile water will be slowly introduced into your bladder and recordings will be made. You will be asked to inform Dr. Golden or his assistant when you feel that your bladder is full.
4. Once you feel full, the bed will be adjusted to stand upright and you will be asked to cough while X-rays of your bladder will be taken. If you feel like leaking urine when you cough, do not be embarrassed to let Dr. Golden know about this.
5. After the entire procedure, you will then be asked to empty your bladder again into the flowmeter.

If you’d like to know more about Urodynamic Testing in Spokane Valley, visit us now for a personal consultation. Call us at (509).921.0099 or fill out this contact form.

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