Urodynamic Testing
Measures how your bladder stores and empties urine, so treatment for incontinence, retention or complex symptoms targets the real problem.
Urodynamic testing
Urodynamics is a set of measurements — bladder pressure, capacity, urine flow, and sphincter activity — taken while the bladder fills and empties. It answers questions a history alone cannot: is the bladder overactive or underactive? Is there obstruction? Which type of incontinence is causing the leakage?
Who benefits
Patients with mixed or unclear incontinence, urinary retention, neurologic conditions affecting the bladder, or symptoms that have not responded to first-line treatment — and anyone being considered for surgery, where knowing the bladder's behavior helps predict the outcome.
The visit
Simpler office tests often come first: a uroflow measures how fast you empty and a post-void residual (PVR) bladder scan shows how much is left behind. When those do not answer the question, full urodynamics is scheduled. Small catheters record pressures while the bladder is slowly filled with fluid; you will be asked to report sensations and to cough or bear down. The study takes about 45 minutes and is performed in the office, and Dr. Sosenko reviews the tracing with you.
This page is general patient education and is not a substitute for a visit. Every patient is different — Dr. Sosenko will review your history, examination, and test results before recommending treatment.