The first step to helping you feel better is to learn what is causing the problem. Female Pelvic Medicine and Reconstructive Surgery provides an array of advanced diagnostic testing right in the office, including computerize, multichannel urodynamic testing and cystourethroscopy.
This is a computerized evaluation of how the bladder, urethra and sphincters are working. The test uses thin, flexible tubes called catheters. It is not a painful procedure, but it may be uncomfortable. Please come to the test with a full bladder and be prepared to spend at least one hour in the office. You will be able to drive after this procedure and do not need to be accompanied.
At the beginning of the study you will empty your bladder into a machine that measures how fast your urine flows. Two small catheters will be placed: one vaginally or rectally, and one into the urethra. The catheters measure how much pressure is exerted on your bladder during the study. Your bladder will be slowly filled with sterile water. You will be asked to indicate fullness at various times during the filling process. You will also be prompted to cough and bear down to reproduce circumstances that provoke leaking. Once the bladder is full, you will be asked to empty your bladder into a special funnel with the catheters in place. Be prepared to spend at least 1 hour in the office for this procedure.
A cystourethroscopy is a procedure during which we insert a small lens into the urethra and bladder, looking for abnormalities that may contribute to your urinary symptoms. Your doctor will be inspecting the walls of your bladder and urethra and ureteral orifices. An anesthetic gel to numb the area will be applied to the inside of the urethra. The procedure is usually not painful, but you may feel some discomfort. Be prepared to spend at least 30 minutes in the office for this test. You will be able to drive after this procedure and do not need to be accompanied.