Following the Flow
Urodynamics is a type of study of the lower urinary tract used in urology and urogynecology to assess the functionality of the bladder and urethra in their ability to work together in the storage and release of urine. By conducting urodynamics, a physician is able to determine why their patient may be experiencing such concerning conditions as urinary incontinence, overactive bladder; and a strong, sudden urgency to urinate without actually being able to do so. Once results are obtained, the patient will be given a more accurate diagnosis and presented with the most viable treatments specific to their case.
At Coyle Institute, Dr. Michael Coyle and his caring staff have years of experience in conducting urodynamics; and they provide their patients with the highest level of care, answering their questions and offering advice on whatever concerns they might have. At Coyle Institute, they realize the sensitive nature of urinary issues—not only in regards to physical health, but also in regards to the emotional aspect of these commonly experienced conditions—and they are dedicated to making their patients feel that their health is in the most capable hands. As a leading urogynecologist in the greater Pensacola area, Dr. Coyle is able to provide the women in his care with cutting-edge treatments and technologically advanced options that are truly life changing.
Testing the Tract
Urodynamics testing will evaluate both the filling and storage process of the bladder as well as the voiding process, when urine passes from the bladder to the urethra. Depending on the symptoms presented by the patient, a doctor may wish to run additional tests which will artificially stimulate the urinary tract to react and thereby identify the exact causes of urinary incontinence.
The most simple urodynamic studies consist of a noninvasive assessment of urine flow during which a postvoid residual—or PVR—urine measurement is taken and a single-channel cystometography or CMG is performed to record the pressure exerted on the bladder at varying points during the earliest stages of the urinary process including filling, fullness, and urge sensory. Reactionary bladder contractions and compliance will be gauged during the filling process, as well, using water as the fluid agent.
Multichannel urodynamics are more complex and go beyond single-channel urodynamics to provide a measurement of abdominal leak-point pressure, or ALPP; obtain CMG recordings during the voiding phase to identify pressure during bladder flow; and conduct electromyography or EMG tests, which assesses nerve and muscle function in relation to the urinary tract. Much like single-channel urodynamics, multichannel urodynamic testing is conducted using water as a fluid agent.
Patients suffering from incontinence will often be diagnosed using videourodynamics, which, in addition to all scans run by multichannel urodynamics, also includes static cystography to provide an x-ray image of the bladder and urinary tract during urination as well as a voiding cystourethrogram, which utilizes a radiopaque liquid to take x-ray images of the urinary tract during filling and voiding to visually track the flow of urine.
At Coyle Institute, patients come to us with their urogynecology concerns knowing that their case will be handled with the highest dedication and that we will do everything in our power to properly diagnose and treat any issue they may be facing. Wellness is our number one priority, and we want the women in our care to live free from the pain and embarrassment that result from the complications they face; and as we walk beside them on their journey to health, we offer them the hope of a future full of possibility.
Track your path to a healthier future! Give the team at Coyle Institute a call today!