Atrium Health Navicent Women's Care Urogynecology & Pelvic Surgery

Urodynamic Testing

What is urodynamic testing?

Urodynamic testing is a diagnostic procedure performed in the office that helps us better understand how your bladder functions. During the test, we evaluate your bladder's ability to store and pass urine.

Who should undergo urodynamic testing?

Not everyone with bladder concerns needs urodynamic testing. But in some cases, it can provide important information about how your bladder functions and help determine the best course of action.

Some reasons your doctor may recommend urodynamic testing include:

  • Leaking urine by accident
  • Sudden need or urge to urinate (urgency)
  • Frequent urination at night
  • Feeling of incomplete emptying
  • Preoperative bladder evaluation before reconstructive surgery
  • History of reconstructive surgery

What should I do before the procedure?

The first part of the test requires you to urinate, so please come to the office with a comfortably full bladder. If you’re taking any medications for overactive bladder, do not take them before your test.

Wear comfortable clothing – preferably separates, as you’ll need to remove your bottoms for the test.

What should I expect?

First, you’ll urinate in a special urine funnel that measures both the amount of urine and flow rate.

Then, a small pediatric catheter (plastic tube) will be used to empty your bladder. A second catheter may also be placed into your vagina or rectum. Both catheters have sensors that allow us to measure the pressures generated when you’re filling or emptying your bladder.

During the procedure, the clinical staff will ask you about the sensations in your bladder, as well as make you cough and exhale all your breath to determine whether you leak urine.

At the end of the procedure, you’ll be asked to urinate once again.

What should I expect at home?

You might feel some burning when you urinate after the procedure. This is because of the catheter and should only last for a day. If these symptoms last over 24 hours, let us know so we can test your urine for a bladder infection.

Will my insurance company cover the procedure?

Check your insurance plan benefits to see if your policy covers urodynamic testing. If it does, our office will help you get prior authorization if your insurance policy requires it. If you have further questions, contact your insurance carrier.