Pelvic Organ Prolapse And Incontinence
In recent years the surgical treatment of pelvic prolapse and female incontinence has been revolutionized. Surgical repairs have simultaneously become less invasive and more successful. Laparoscopic and robotic approaches have been developed to treat vaginal prolapse. These operations offer significant advantages over traditional open abdominal surgery, and can be done on an outpatient basis. They are much less invasive, have fewer complications, and result in a much faster recovery.
Tremendous advances have also been made in the treatment of female incontinence. New medications are available that help to control the disabling effects of an over active bladder. These medications are more effective and have fewer side effects than older drugs. Additionally, recent improvements in the surgical treatment of stress incontinence are nothing short of amazing. Older operations required several days in the hospital, unsightly abdominal incisions, and prolonged catheter use. Even worse, they were only successful 50% of the time. Today, incontinence procedures can be performed through small vaginal incisions on an outpatient basis. The newer procedures cause only mild discomfort. The complication rates are minimal, and the lifetime cure rates are 80-90%.
Drs. Wagner and Goldman are two of the most accomplished vaginal surgeons on Long Island. They have extensive experience in the most advanced treatments for pelvic organ prolapse and female incontinence. Experience counts.
WHAT IS URODYNAMICS?
Urodynamics refers to a series diagnostic tests that evaluate the function of your bladder and urethra. These tests may be recommended if you have urinary incontinence (leakage of urine), recurrent bladder infections, a slow or weak urinary stream, incomplete bladder emptying, or frequent urination. Urodynamics tests
provide valuable information to aid in the accurate diagnosis of your urinary problems.
HOW TO PREPARE FOR URODYNAMICS
PLEASE ARRIVE FOR THE STUDY WITH A COMFORTABLY FULL BLADDER.
Small catheters will be taped in place during the procedure so you may want to shave off pubic hair near the vaginal area.
Upon arrival to the doctor’s office, please sign in at the window. You will be asked to fill out a bladder questionnaire. If your doctor has asked you to keep a bladder diary, please present that to the nurse when you are called in for your study.
Unless otherwise directed by your doctor, you should take your normally scheduled medications. You may eat and drink prior to the study. The series of tests typically takes less than one hour. You will be able to resume all usual activities, including driving, upon completion of the Urodynamics test. You do not have to have anyone accompany you.
This study measures your urinary flow rate. You should come to the test feeling as though you need to urinate. Try not to empty your bladder one hour before your test is scheduled.
You will be asked to urinate into a special commode that allows a computer to measure your urine flow rate and voided volume.
This study measures how well you can control your sphincter (outlet) muscles and helps determine if they are working in coordination with your bladder. Sticky patches called electrodes will be placed near the rectum to record sphincter muscle activity.
This study measures your bladder capacity, evaluates how your bladder holds urine, and determines how well you can control your bladder muscle.
One very small catheter will be placed in your bladder, and another will be placed in your vagina. These catheters will measure both the pressure inside your bladder, and the pressure your body exerts on your bladder.
You will be asked to report the sensations you feel as your bladder is filled (such as when you first feel the need to urinate and when that feeling intensifies).
You may be asked to cough, bear down, or stand during the test so as to check for leakage of urine. At the end of the study, you will be asked to urinate.
PRESSURE FLOW STUDY
This study measures how well the bladder muscles, the sphincter, and the urethra work together. This test may be done sitting on a commode or standing. Your bladder will be filled until you feel that your bladder is completely full. You will then be asked to urinate. The computer will measure the strength of your bladder muscles and sphincter, as well as the urinary flow rate and voided volume.
HOW TO MAKE AN APPOINTMENT
Your physician will determine if Urodynamics is appropriate for you. Your doctor’s office staff will then assist you in making this appointment. You may be asked to fill out a bladder diary before your scheduled appointment.
The Urodynamics test is done right Dr. Wagner’s and Dr. Goldman’s office East Northport office. This test is performed by a registered nurse.
If you have any additional questions about the procedure please call your physician’s office.
AFTER THE TEST
You may resume all normal activities after the test. It is wise to drink plenty of fluids for the remainder of that day.
Once the Urodynamics testing is complete, a report is generated for your physician to review. You will be asked to schedule an appointment at a later date to discuss your Urodynamics results as well as recommended treatment.