Treatment / Diagnostic Procedures for Female Incontinence

Urine Tests:

• Dipstick Examination: This evaluates the urine for abnormal contents such as blood, glucose, or the presence of pus and white blood cells.
• Urine Culture: When an infection is suspected, the urine sample undergoes laboratory testing to identify potential bacterial growth.
• Urine Cytology: Assesses the urine for any abnormal or potentially cancerous cells.

Bladder Scan:

A non-invasive ultrasound assessment determines the volume of urine remaining in the bladder post-urination, referred to as residual urine.

Urodynamics:

What Is It?

Urodynamic testing observes bladder behaviour during the filling and emptying phases. This detailed analysis provides insights into the causes of bladder issues, such as inconsistent urine flow or issues with bladder pressure. The results guide doctors in crafting an effective treatment plan.

Are There Alternatives?

While urodynamics is the most comprehensive method for certain bladder issues, other options include bladder ultrasound, urine samples for infection checks, or camera examinations of the bladder. The best test often depends on specific symptoms presented.

Preparation:

• Maintain a bladder diary: Log fluid intake, urine output, and related symptoms.
• Medication adjustments: Some bladder-related medicines might need to be paused. Consult with your healthcare provider for guidance.
• Ensure no constipation: This could affect test results.
• Attend with a nearly full bladder: This is essential for the test. If required, arrive earlier and hydrate.

During the Test: The test duration varies between 30-45 minutes and involves:

• Initial discussion and consent
• Urine flow measurement using a machine, the flow meter
• Ultrasound check for bladder emptying
• Insertion of fine tubes into the bladder and rectum, linked to a computer system
• Filling the bladder with sterile fluid and measuring pressures
• Monitoring sensations and potential leakage during the test

Post-Test Advice: While complications are rare, be vigilant for signs of urinary tract infections:

• Blood in urine
• Cloudy or foul-smelling urine
• Increased urgency or frequency of urinating
• Lower abdominal or back pain
• Burning during urination
• Fever or general malaise

Follow-Up:

After the test, your doctor will discuss the results and potential treatments on the same day or during a subsequent appointment. After that, You’ll receive a written overview of these findings, and your GP will also be notified. Post-test, you’re free to resume your regular activities.

Further Reading

British Association of Urological Surgeons Leaflet on Urodynamics