The urodynamic assessment is a crucial examination that allows for the evaluation of the functioning of the bladder and the urinary system. Whether you are concerned about incontinence issues or simply wish to learn more about this type of test, this article will provide you with all the keys to understand its process, objectives, and results. Each step of this examination is important and can help you better understand your urinary health.
What is the urodynamic assessment?
The urodynamic assessment (BUD) includes a series of tests that analyze the functioning of the bladder, the urinary sphincter, and the urethra. It allows for the evaluation of various aspects of urinary function and is often requested when urinary disorders are present. The main objective is to localize dysfunctions and establish a precise diagnosis.
The urinary system is composed of several interconnected organs: the kidneys filter the blood to produce urine, which travels down the ureters to be stored in the bladder. The urethral sphincter controls the expulsion of urine during urination.
Who is the urodynamic assessment for?
The urodynamic assessment is particularly recommended in cases of urinary disorders such as:
- Urinary incontinence
- Urinary leaks
- Overflow incontinence, which manifests as a dribbling when the bladder is full.
- Frequent urges to urinate (pollakiuria)
- Pain during urination
- Difficulties urinating (dysuria)
Process of the urodynamic assessment
Before the examination
Before starting this assessment, the physician checks that there is no urinary infection present to ensure reliable results. A urine culture is generally prescribed a few days before the examination. It is not necessary to fast, but it is advisable to arrive with a full bladder.
During the examination
The urodynamic assessment takes place in an equipped room, under the supervision of a nurse and a specialized doctor. The examination lasts between 30 minutes and 1 hour and includes three main tests:
- Flowmetry: measures the strength of the urinary stream and the volume of urine expelled.
- Cystomanometry: measures the pressure in the bladder during its filling.
- Urethral profilometry: studies the functioning of the urethra.
After the examination
After the examination, it is recommended to drink between 1.5 and 2 liters of water to promote proper bladder function. Slight discomfort may be experienced, but if there are persistent pains, it is advisable to consult a professional.
Interpretation of the results
The results obtained during the urodynamic assessment enable the physician to identify the cause of urinary disorders and develop an appropriate treatment. It can reveal elements such as:
- A bladder that does not empty completely.
- An insufficient capacity of the bladder to store urine.
- A urinary sphincter that is too relaxed or too tight.
Additional examinations
It sometimes happens that other examinations are necessary to refine the diagnosis, such as:
- An electrophysiological examination.
- A cystography.
- An ultrasound of the bladder.
- A cystoscopy.
This complete and detailed exploration of the urodynamic assessment is a procedure that deserves your full attention. Each test performed plays a determining role in the diagnosis and treatment of your urinary concerns.
The story of a personal experience
During my first experience with the urodynamic assessment, there was some nervousness. However, I quickly realized that all the professionals were there to support me during this moment. At the end of the examination, I was relieved to find that my fears were unfounded and that the results would be analyzed carefully. This opened my eyes to the importance of these examinations in managing urinary health. By sharing this, I encourage everyone not to hesitate to approach these situations with confidence and to ask questions of health professionals. Not letting worry take over can truly make a difference in managing our well-being!
