Microsoft word - urodynamic testing

Keil Urogynecology
4500 E. 9th Ave. Ste. 420 Denver, CO 80220 Urodynamic Appointment: _________________________
Special Instructions:
1. Please come to our office with a full bladder.
2. If you have had a knee replacement, have mitral valve prolapse, or must take
antibiotics prior to any dental or medical procedure, please take these
antibiotics prior to your testing. Please notify our office and a prescription
will be called in for you.
3. Please have a list of allergies and medications that you are currently using.
4. If you feel that you have a urinary tract infection, please notify us prior to
your testing.
5. If you are taking Ditropan XL, Ditropan, Oxybutynin, Levsin, Detrol LA,
Sanctura, Vesicare, or Enablex, please stop taking these medications 7 days
prior to your testing appointment.

Urodynamic Testing:

These tests provide valuable data on bladder function. These studies are done to further assess the etiology of your urinary incontinence as well as what surgical procedures are needed, if any. When you arrive at our office, you will be asked to undress from the waist down and urinate in a special commode. These studies will take between 30 to 60 minutes. Many different tests will be performed at this time including: 1. Uroflowmetry: This test allows us to measure the rate of urine you void from your bladder. This is a noninvasive test that is used to screen for bladder emptying problems. 2. Cystometry: This test evaluates how your bladder is able to hold urine. A small catheter is inserted into your bladder and urethra. Through this catheter, your bladder will be filled with sterile water. A second catheter will be placed in your vagina or rectum to provide additional data. During this test, you will be asked to identify any sensations that you might have similar to that of the need to use the restroom. During this test, you will be sitting, standing, or partaking in exercise. 3. Urethral Pressure Profilometry Study: This test evaluates the pressure in your urethra. This information contributed to the evaluation of urinary incontinence. The bladder catheter is withdrawn slowly from your bladder. 4. Pressure Flow Study: This test is used to measure the pressure and flow of your urine while you are urinating. It is used to evaluate problems with bladder emptying. The pressure flow study is done after the Cystometry. You will be asked to urinate with the catheter in place while sitting in the chair in which the testing takes place. Getting your Results:

Test results may be given to you immediately after the test is performed. You may also be asked to schedule an appointment with the doctor in order to discuss the
results of the test.
Post-testing antibiotics:

You will be given antibiotic to take immediately after the testing is complete. They should also be taken 12 hours later. These antibiotics are to prevent any infection that might have occurred during the testing. You may also be given a urinary sedative in order to prevent any burning or stinging that you might have after the test. If you have an artificial heart valve, artificial joints, or mitral valve prolapse,
you will have your own prescription for medications to be taken after the procedure
and will not need the above antibiotics.

If you still feel like you have a urinary tract infection two days after your testing, you will need to call our office or your primary care physician in order to have a formal urine culture test. Preventative antibiotics will prevent an infection from occurring most of the time. We ask that you call your insurance to check your benefits for in office
procedures/ surgery. Most insurances consider this test to be an in office surgery so the coverage is different from normal office visits. Please feel free to ask any questions that you have regarding Urodynamic testing. Hopefully the above information will provide you with a small amount of insight into the reasons why bladder testing is needed. Kristinell Keil, MD Jacqueline Cunkelman MD Jennifer Ross, NP Urogynecology and Reconstructive Surgery

Source: http://www.keilurogynecology.com/wp-content/uploads/2013/10/2013-Urodynamic_Testing.pdf