Urodynomy tests are tests used to evaluate urinary incontinence or other urinary complaints. The bladder’s ability to accumulate and empty urine is measured. With urodynomy tests;
1-Nerve and muscle functions of the bladder;
2- Intra-bladder and extra-bladder pressure measurements;
3- Urine flow rate and intra-bladder pressure during this time
4- Measurement of the pressure in the urinary tract during laughing, coughing and urinary incontinence in women.;
5- The activity of our urine-holding muscle and whether the urinary-holding muscles and bladder muscle work in coordination;
being evaluated.
Most urodynomy tests assess how well the bladder can collect and empty urine.
Involuntary contractions of the bladder and involuntary urinary incontinence can also be evaluated with urodynamic tests.
If;
. If you have any type of urinary incontinence;
. If you have sudden urge to urinate and urinary incontinence before reaching it,
. If you feel pain while urinating,
. If you cannot empty your urine or your entire bladder,
You are a candidate for urodynamic evaluation.
Your bladder muscle is relaxed while the bladder is empty and filling. Our urine-retaining muscle, on the other hand, stays tight during this filling and prevents us from leaking urine. When the bladder filling approaches its capacity, it transmits signals from the bladder to the spinal cord and from there to the brain. When you want to urinate, with the signals transmitted from our brain through the spinal cord, while the bladder contracts, our urine-holding muscle relaxes and we can urinate. Urodynamics provides very valuable information in the diagnosis of all diseases related to filling and emptying of the bladder. Many diseases such as multiple sclerosis, diabetes, Parkinson’s disease, previous neurological conditions, stroke, traffic accidents affecting the spinal cord, congenital disorders affecting the spinal cord affect and impair urination to varying degrees. In the diagnosis of these, urodynamics provides very valuable information.
How to Make Urodynamics;
It does not require anesthesia. A very thin two-channel probe is placed in the bladder and the bladder is filled with serum from one of the channels, while the pressure is measured simultaneously from the other channel. Again, another thin probe that measures pressure is placed in the rectum, and the intra-abdominal pressure that contributes to the intra-bladder pressure is eliminated by the computer, and the pure pressure of the bladder is found. To measure the activity of our urine-retaining muscle, two small conductive plates are attached to both sides of the anus. This is also painless. It is evaluated how the pressure in the bladder changes by filling the bladder at a certain rate, whether there is a self-contraction in the bladder, whether the relaxation of the bladder contraction and the relaxation of the muscle that holds the urine is in harmony, how the pressure in the bladder changes during voiding, and whether there is any urine left after voiding.
