Urodynamics in women

This is the 4646th article of Da Yi Xiao Hu

In the outpatient clinic, female patients often complain of symptoms such as frequent urination, urgency, difficulty urinating, and urinary incontinence. After routine urine tests and B-ultrasound examinations of the urinary system, no obvious problems are found. At this time, the patient may need urodynamic testing.

Female urodynamics is a method specifically used to evaluate and diagnose female urination disorders. It includes free urine flow rate measurement, urethral pressure measurement, bladder pressure measurement and other methods, which can evaluate the patency of the urinary tract, bladder detrusor function and urethral function. Through this examination, doctors can understand the female urinary tract function, determine the cause and degree of urination disorder, and thus formulate appropriate treatment plans.

How is female urodynamic examination performed?

1. Inspection Purpose

The main purpose of female urodynamic examination is to evaluate female urinary tract function and understand the cause and extent of urination disorder so that doctors can formulate appropriate treatment plans. This examination can also be used to evaluate surgical results, determine disease progression and prognosis, and guide patients' daily care.

2. Preparation before inspection

Before conducting a female urodynamic examination, the following points should be noted:

1. Follow the doctor's advice and make necessary preparations, such as stopping certain medications and diet, etc.

2. Understand basic precautions, such as keeping your bladder empty.

3. Wear comfortable clothing to facilitate the examination.

4. Follow basic hygiene requirements, such as washing the vulva.

5. Inform your doctor of your symptoms and concerns so that he or she can arrange an appropriate examination time.

3. Inspection process

When conducting female urodynamic examinations, you need to cooperate with the doctor to conduct various tests, such as free urine flow rate measurement, urethral pressure measurement, bladder pressure measurement, etc. These tests usually need to be performed in a professional urodynamic laboratory in the hospital. During the examination, you need to follow the doctor's instructions and actively cooperate with the test in order to obtain accurate examination results.

4. Precautions after inspection

After the female urodynamic examination, the following matters need to be noted:

1. Follow the doctor's advice on necessary care and precautions, such as regular urination.

2. If you have any questions or concerns, you can consult your doctor at this time.

3. Learn how to perform daily care and preventive measures to improve urination problems.

5. Applicable people

1. Female patients with symptoms of urination disorder.

2. Female patients who need to be evaluated for urinary tract function and causes of urination disorders.

3. Female patients who need appropriate treatment plans.

4. Female patients who need to evaluate surgical results, judge disease progression and prognosis.

5. Female patients who need guidance on daily care and preventive measures.

6. Not suitable for people

1. Patients with severe cardiovascular disease or other systemic diseases.

2. Pregnant or breastfeeding women.

3. Patients with urinary tract infection or other inflammation.

4. Patients with mental illness or impaired consciousness.

5. Other people who are not suitable for urodynamic examination should consult a doctor for details.

7. Abnormalities and significance of urodynamic examination

Abnormalities in urodynamic examination and their significance are as follows:

1. Abnormal free urine flow rate

It indicates that the urinary tract patency is impaired or the bladder detrusor function is abnormal.

2. Abnormal urethral pressure

It indicates urethral dysfunction or urethral obstruction.

3. Abnormal bladder pressure

This indicates detrusor dysfunction or bladder outlet obstruction.

4. Other abnormal situations

Such as urinary incontinence and enuresis, indicating the presence of urination disorders caused by nervous or muscular system diseases.

Author: Shanghai Public Health Clinical Center

Urology Department