Complex urodynamics

A comprehensive urodynamic study (CUDI) is a procedure that makes it possible to assess the state of the urinary system. The examination is prescribed in order to identify pathologies in the area under consideration. During the manipulation, inflammatory processes, prostate adenoma in men, etc. can be detected.

Urination disorders cause a lot of inconvenience of a different nature. Due to the delicacy of the problem, patients often delay the visit to a specialist, which can lead to undesirable consequences.

High-tech equipment and professionalism of the specialists of the "K+31" clinic allow you to conduct a urodynamic examination in a comfortable environment and determine further treatment tactics.

Indications for the appointment of KUDI

A urodynamic study is used to evaluate urodynamics - the movement of urine.

Urodynamic examination is aimed at studying the functional state of the bladder and urethra. This helps to establish reliable causes of urination disorders that are not associated with inflammation or organic damage.

The reason for performing KUDI in urology is the presence of the following complaints:

  • frequent urination;
  • pain and difficulty emptying;
  • sudden urges;
  • stress incontinence;
  • no feeling of bladder fullness;
  • uncontrolled leakage of urine.

The procedure is prescribed for violations of the urinary organs against the background of diabetes mellitus, neurological (traumatic brain injury, parkinsonism), mental illness, etc.

KUDI examination is indicated for:

  • urinary retention;
  • neurogenic urinary disorders;
  • impaired bladder contraction function;
  • preparing for surgery;
  • relapses, complications after intervention;
  • no effect of the prescribed therapy.

KUDI is the most informative method that helps to identify functional changes in the urinary tract.

What does KUDI include

Urodynamic examination is a general term for diagnostic measures that make it possible to detect dysfunction of the urinary system by measuring relevant parameters.

The examination includes the following types of invasive and non-invasive procedures:

  1. Urine analysis is carried out to detect infectious processes.
  2. Uroflowmetry. With the help of a special device, the volume of urine excreted, the time and speed of emptying are determined.
  3. Cystometry. In the process of manipulation, the bladder cavity is filled with a sterile solution. Special sensors of the system measure pressure indicators during filling and emptying of the organ, its volume, the moment of urge.
  4. Profilometry measures urethral function.
  5. Cystoscopy. The method helps to visualize in detail the condition of the bladder and urethra.
  6. Residual urine volume determination using an ultrasound machine or a catheter.
  7. "Pressure - flow". Thanks to the procedure, it is possible to determine the pressure in the bladder, the work of the urethral sphincter at the same time.
  8. Electromyography helps to determine the condition of the pelvic muscles.
  9. Stress test. The doctor asks the patient to perform some physical action (for example, cough) with a full bladder.
  10. Ultrasound of the bladder.

The plan of urodynamic measures is compiled by a specialist on an individual basis for each patient, taking into account complaints, the clinical picture, analysis of the urination diary, etc.

Contraindications

There are a number of contraindications to the KUDI study, which must be taken into account in order to prevent unwanted complications.

Manipulation restrictions are:

  • acute inflammatory process;
  • tumors of the genitourinary system;
  • the presence of a mechanical obstacle to the catheter along the urethra (developmental anomalies, prostate hyperplasia, blockage by a stone, narrowing, bending of the canal, etc.);
  • pregnancy;
  • Children under 5.

Some medications can affect test results, so it's important to inform your doctor beforehand that you're taking any medications.

Preparation and order of execution of KUDI

Before the procedure, you should undergo a preliminary examination by a urologist to identify possible contraindications. Special preparation for the survey is not required, but a number of conditions must be met:

  • take a urine test to exclude an infectious and inflammatory process;
  • stop taking drugs that affect bladder function one week before the procedure;
  • keeping a diary for three days before the procedure, in which the patient records the amount of fluid consumed, urine output, the nature of urination, etc.;
  • make a cleansing enema the day before KUDI;
  • The bladder should be filled or emptied depending on the individual recommendations of the specialist.

Urodynamic examination of the bladder takes 30-40 minutes. In the process of manipulation in the perineal area, a

electrodes, and a catheter with a pressure sensor is inserted into the organ cavity. Then saline is injected into the bladder. The patient, at the request of the urologist, fixes the moment of the beginning of the urge to empty and conducts provocative tests. During urination, sensors determine the pressure of the jet and the contractility of the organ.

If necessary, the diagnosis is supplemented with other techniques to obtain a detailed picture of the state of the urinary system. To reduce the risk of infectious complications after manipulation, a course of antibiotic therapy is prescribed.

After the study, there may be a slight sensation of discomfort, soreness and burning sensation during urination, which are associated with irritation of the urethra during manipulation. Similar symptoms disappear within a day.

Clinic "K+31" offers high-quality diagnostics on modern equipment using the latest techniques and developments. Qualified specialists of our center with many years of practical experience will draw up a plan for the necessary studies, taking into account the well-being and characteristics of the patient. Timely diagnostic measures and effective therapy restore health and quality of life.

For more information fill out the special online form on the site.

Service record

Services



Specialists

All specialists
Rasner
Pavel Ilyich

Consultant in urology, urologist

Doctor of Sciences, PhD, professor

Osmolovsky
Boris Evgenyevich

Head of the Department of Urology, Urologist

PhD

Tereshchenko
Suren Alexandrovich

Doctor urologist-andrologist

Doctor of Sciences, PhD

Kamalov
Armais Albertovich

Chief Consultant in Urology, Urologist

Academician, professor, Doctor of Sciences, PhD

Pshikhachev
Ahmed Mukhamedovich

Urologist, Oncologist

Doctor of Sciences, PhD

Gomberg
Mikhail Alexandrovich

Dermatovenereologist

Doctor of Sciences, PhD, professor

Marchenko
Vladimir Vladimirovich

Leading urologist-andrologist, urogynecologist, pelvic pain specialist