Uro-Diagnostic testing refers to a series of diagnostic procedures that evaluate bladder and urethral function. These tests may be recommended for Urinary Incontinence (leakage of urine), recurrent bladder infections, a slow or weak urinary stream, incomplete bladder emptying or frequent urination. The evaluations and tests provide valuable information to aid in an accurate diagnosis of urinary problems.
ANORECTAL MANOMETRY - This study measures the pressure of the anal sphincter muscles, the sensation in the rectum and the neural reflexes needed for normal voiding function. The anal and rectal area contains specialized muscles which are helpful in regulating proper passage of bowel movements and assist with normal voiding activity. If this muscle is weak or does not contract in a timely way, incontinence may occur.
UROFLOW STUDY - This study measures urinary flow rate. Patient should come to the test feeling the need to urinate, but should make every effort not to empty the bladder for one hour before the scheduled test. Patient will be asked to urinate into a special commode that allows a computer to measure urine flow rate and voided volume.
EMG - This study measures how well a person can control the sphincter (outlet) muscles and helps to determine if these muscles are working in coordination with the bladder. “Sticky patches” (electrodes) will be placed near the rectum to record sphincter muscle activity.
SIMPLE CYSTOMETROGRAM - This study measures bladder capacity, evaluates how the bladder holds urine, and determines how well a person can control the bladder muscles. A very small catheter is placed in the bladder and measures both the pressure inside the bladder and the pressure a patient's body exerts on the bladder. Patient may be asked to cough, bear down or stand during the test to check for leakage of urine. At the end of the study the patient will be asked to urinate.
BLADDER ULTRASOUND - This study is especially useful when a resident cannot void or is having symptoms of urinary retention. Bladder ultrasound is used to evaluate bladder function or to monitor for urinary tract infection, urinary incontinence, urinary retention or bladder dysfunction associated with other medical conditions (e.g., pelvic organ prolapse).
PERCUTANEOUS TIBIAL NERVE STIMULATION
The PTNS is a painless, minimally-invasive, non-drug treatment for various types of Urinary Incontinence including urinary urgency, urinary frequency and urge incontinence. Bladder function is regulated by a group of nerves at the base of the spine called the sacral plexus. By stimulating these nerves through gentle electrical impulses (neurostimulation), bladder activity can be changed. Scientific studies using the Urgent PC System show that 2 out of 3 individuals treated see a reduction in the number of incontinence epidodes.4
Continence Care Group is able to assist residents in long term care facilities regain bladder function and the quality of life that they deserve.*
4 Govier, F.E., Litwiller, S., Nitti, V., Kreder, K.J. Jr., & Rosenblatt, P. (2001). Percutaneous afferent neuromodulation for the refractory overactive bladder: Results of a multi-center study. Journal of Urology, 165, 1193-1198.
*Results may vary. Not all residents obtain the same results.