Video Urodynamics
  Uncovering True Causes Of Bladder Leakage

It is very difficult to render an accurate diagnosis of urinary tract dysfunction based on symptomatic
evaluation alone. This is due to subjective bias from the patient and the clinician, as well as the considerable overlap of symptoms from different disorders.

Urodynamic (cystometry) techniques help provide an accurate diagnosis by measuring the voiding pressures of the bladder. The principal aim is to reproduce the patient’s symptoms, and to correlate the symptoms with the underlying urodynamic findings.
Alliance Bladder Control & Pelvic Pain Center offers patients state-of-the-art video-urodynamics, which also uses fluoroscopy to visualize anatomic detail. Two dedicated urodynamic nurse specialists perform these diagnostic procedures.

The bladder conditions most commonly evaluated with urodynamics include:
  • Male and female urinary incontinence
  • Overactive bladder refractory to medical therapy
  • Male voiding dysfunction unresponsive to medication
  • Urinary retention
  • Neurogenic bladder
  • Pelvic organ prolapse
  • Pelvic pain
Following are two examples that illustrate how the use of video urodynamics was able to accurately diagnose two different conditions that presented with the exact same symptoms.
Patient #1
A 37-year-old female complained of frequent urine leakage when she sneezed, coughed, ran, or lifted heavy objects. She experienced heavy urinary leakage at times and had to change pads numerous times a day. Her medical history included having two vaginal deliveries. Based on symptoms described by the patient, it appeared she suffered from classic stress urinary incontinence (SUI).
Video urodynamics studies documented a beaked bladder neck, minimal urethral hypermobility with cough and valsalva, and no evidence of SUI. Based on these findings, the patient was treated with anticholinergics and her symptoms resolved without surgery.
Patient #2
A 62-year-old female complained of leaking urine when she coughed, sneezed, or stood up from a seated position. Patient history included a hysterectomy, a bowel resection for cancer, and she was a diabetic.

Possible causes of the leakage that were considered included genuine stress incontinence, overflow incontinence due to nerve damage from her abdominal surgeries, or a diabetic bladder. Video urodynamics confirmed this was SUI in a patient with adequate bladder volume and the ability to contract strongly enough to empty. This test provided enough information to recommend surgery.

For more information about video urodynamics, call 336-274-1114.

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