EVALUATION OF BLADDER AND PELVIC FLOOR DYSFUNCTION

Urodynamic evaluation

The urodynamic evaluation and measurement of the pelvic floor muscle activity allows identification of the reason of urinary incontinence or voiding dysfunction. Thanks to precise measurements and functional testings, it is possible to distinguish malfunctioning of the urinary storage from urinary voiding dysfunction and identify the cause of incontinence. A urodynamic examination can be carried out on an out-patient basis and takes around an hour. Each measurement is carefully prepared by us and performed to uniform standards. If medication affecting the urinary bladder or urethral sphincter is already being taken, this should be discontinued a number of days in advance of the examination. As a general rule, one of our doctors and a specially trained nurse carry out the measurements - the daily routine of a well-oiled team facilitates a high standard of examination quality. The emptying of the bladder is normally a very private matter, which explains why we consider it especially important to deal with the patient with respect and empathy in a quiet, relaxed and private atmosphere during the examination.

Ultrasound, radiology and endoscopy

Combining the urodynamic evaluation with imaging (ultrasound, radiology or endoscopy) it is possible to evaluate shape and position of the individual urinary tract organs. Besides traditional ultrasound of the urinary tract and transrectal doppler ultrasound of the prostate, we offer also perineal or introital ultrasound evaluation of the female pelvic organs. Modern digital radiology devices make it possible to evaluate the lower urinary tract in detail.  The rigid and flexible endoscope helps with the investigation of the inside of the urinary tract.

Neurophysiological evaluation

Voiding dysfunction and urinary incontinence could be signs of disease of the nervous system. In this case, neurophysiological measurements of the pelvic floor and the pelvic nerves are indicated. These include: measurement of pelvic reflexes, nerve-conduction testing of the pelvic and leg nerves, electro miography with needle-electrodes or somato-sensitive evoked potential of the pudendal and/or tibial nerve.