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What We Treat



For our patients' convenience, many of our diagnostic tests and procedures are performed in our office. Three of our most common tests include: Urodynamics, Cystoscopy and Urethral Bulking.

Urodynamics

"Uro" means urine or related to the urinary system. "Dynamics" means moving against pressure. Your doctor might recommend urodynamic testing to get a better understanding of how urine moves through your lower urinary system and how well the bladder is working.

The urodynamic test takes about 1/2 hour. It will be done in the office. You can drink non-alcoholic, caffeine-free beverages or eat anything you want before the test, unless given other instructions by your health provider. On the day you go to have the test done, make sure your bladder is comfortably full. Go to the bathroom as you normally would until about 2-3 hours before your appointment time. At that point do not urinate anymore and drink 3-4 (8-ounce) glasses of fluid. Anything you prefer is fine but water is the best option.

After the test, an appointment will be made with the doctor to explain his or her findings and discuss treatment options with you.

Cystoscopy

Cystoscopy is a procedure to see the inside of the bladder and urethra. It is used to diagnose and evaluate urinary tract disorders and check for cancer of the bladder or urethra.

Cystoscopy is performed with a cystoscope (a tube with a small camera on the end). The procedure is done in the office and usually takes about 15 minutes. The urethra is cleansed, and a local anesthetic is applied. The scope is then inserted through the urethra into the bladder. Water or saline is injected through the cystoscope to fill the bladder. As fluid fills the bladder, it stretches the bladder wall, which lets your health care provider see the entire bladder wall. You will feel the need to urinate when the bladder is full. However, it must remain full until the examination is complete. If any tissue appears abnormal, a small sample (biopsy) can be taken through the cystoscope and sent to a lab for analysis.

After the test, an appointment will be made with the doctor to explain his or her findings and discuss treatment options with you.

Urethral Bulking

Urethral bulking is done to treat mild urinary incontinence and sensory urge incontinence.

Most bulking materials are injected around the urethra just outside the muscle of the urethra at the bladder outlet. Injecting the bulking material may be done through the skin, through the urethra or, in women, through the vagina. Needle placement is guided by the use of a cystoscope inserted into the urethra.

Urethral bulking procedures are usually performed using a local anesthetic agent. A local anesthetic allows the person to stand up after an injection to determine whether continence has been achieved. If continence has not been restored, another injection may be done immediately. These injections are performed in the office.

Posted Date: February 2012