Only at UPHI
UPHI is one of the few centres in the country that offer the Urethral Pressure Profile test. UPP helps our specialists determine the strength of the urethra and the pressures it can generate to withstand any stress. It helps our specialists make optimal choices regarding the type of sling that is best for you if you are scheduled to undergo sling surgery for stress incontinence. Dr. Hegde has been specially trained at interpreting this test in the United States at the Cleveland Clinic Florida. She brings this expertise to UPHI. You can read more about it here.
This test is invaluable to understand the maximal pressures your urethra can generate to withstand any stressful event and help us better understand your urethral function. Urethral pressures help us determine the type of sling surgery that needs to be performed. Certain types of sling are not effective in patients with poor urethral function.
In addition to the specialized small catheter placed in the bladder as described above, a small catheter will be placed in the vagina or rectum to record abdominal pressure. The bladder will be slowly filled with water and you will be asked to report the sensations you feel; including first sensation, normal desire to urinate, a feeling of urgency and when you feel that the bladder is completely full. Bladder and abdominal pressures will be recorded to determine your bladder’s ability to fill and store urine and its capacity. If there are any uncoordinate contractions of the bladder [causing a sudden strong urge to urinate (urgency incontinence)], it will be recorded. You will also be asked to cough and bear down during this test to study your ability to hold your urine during times of sudden stress.
This test is invaluable in differentiating between stress and urgency incontinence and determining the best treatment plan for your incontinence. If you have urgency incontinence, performing sling surgery may only worsen your problem. This test also helps to understand your bladder capacity.
You will be asked to urinate the fluid (that was instilled inside your bladder in the cystometrogram) into a funnel attached to a computer. The pressure that your bladder achieves, the flow established and the urine flow over time will be recorded.
The amount of urine left in your bladder after you void (residual urine) may also be measured immediately after the test.
This test is invaluable in evaluating the problems you may have in initiating urination or completely emptying your bladder.
Dr. Hegde understands how this testing can be embarrassing and difficult for some individuals. However, it can give her the information needed to determine the source of a problem and provide the right treatment to address it. The test is performed in the clinic and no sedating medication is necessary. UPHI offers gentle, compassionate care with understanding and patient nurses and assistants that can put you at ease and address your anxieties about undergoing urodynamic testing.
You will be assigned a nurse continence specialist on being given an appointment for the test. You can call her for any queries you may have regarding the test. At UPHI, the quality of your life matters to us, and you always come first.