Urodynamics (bladder pressure test)Urodynamics (bladder ka dabao naapne ka test)

Yeh test kya hai aur kyun kiya jata hai

Urodynamics dikhata hai ke bladder aur us ke gird ke muscles kaise kaam karte hain. Urologist yeh tab kah sakta hai jab aap peshab leak karte hon, bohat zyada ya bohat jaldi jaldi peshab aata ho, bladder poori tarah khali na hota ho, ya nerves ki bimari ho jo bladder ko mutasir karti hai. Incontinence ya prolapse ke operation se pehle, aur kabhi prostate ke operation ke baad bhi yeh test kiya jata hai.

Yeh test batata hai ke masla bladder ki muscle mein hai, nerves mein, nikaas (outlet) mein, ya in ka mila jula asar hai. Nateeja ilaaj tay karne mein madad karta hai, is liye jab urologist kahe to aam tor par yeh test karwana mufeed hota hai.

Test se pehle

• Team ko batayein agar haal hi mein peshab ka infection hua ho, kyun ke ilaaj hone tak test ko mulatvi kiya ja sakta hai.
• Team ko batayein agar nerves ya reedh ki hadd par koi masla ho, jaise reedh ka operation ya chot, kyun ke isse team ki jaanch badal jati hai.
• Team ko batayein agar aap haamla ho sakti hain. Hamal ke shuru mein urodynamics aam tor par mulatvi kiya jata hai.
• Team infection se bachaav ke liye antibiotic de sakti hai. Agar aisa ho to theek waise hi lein jaisa bataya gaya ho.
• Apne taur par koi dawa band na karein. Urologist batayega agar kuch tabdeel karna ho.
• Dheelay aur aaraam dah kapre pehnein jo aasani se utaarne jaisay hon.

Test ke dauran

Aik patli, naram nali (catheter) ko naram tareeqe se peshab ki nali ke zariye bladder mein dakhil kiya jata hai. Kuch tests mein back passage mein doosri bareek tube rakhi jati hai, taake bladder ke gird ka dabao naapa ja sake. Team har qadam se pehle samjhati hai.

Phir bladder ko aahista aahista saaf (sterile) paani se bhara jata hai. Aap ko batana hota hai ke peshab ki pehli hajat kab mehsoos hoti hai, kab zor ki lagti hai, aur kab rukna mushkil lagta hai. Aap se khansne, khare hone, ya aakhir mein machine mein peshab karne ko kaha ja sakta hai. Poora test kuch waqt leta hai, is liye aaraam se waqt rakhein.

Aap ko dabao, peshab ki hajat, ya nali dakhil karte waqt halki si chubhan mehsoos ho sakti hai. Agar takleef ho to team ko batayein, woh rafta rafta chal sakti hai ya ruk sakti hai.

Test ke baad

• Bohat se log usi din ghar chale jate hain.
• Aik ya do din tak jalan, bar bar peshab ki hajat, ya peshab mein thora khoon ho sakta hai.
• Zyada pani piyein, khaas tor par garmi mein.
• Agar bukhar ho to fauran team ko batayein.

Mumkin khatre

Halki jalan, peshab ki hajat, aur peshab mein thora khoon aam hain aur aam tor par jaldi theek ho jate hain.

Kam aam, peshab ka infection ho sakta hai jis ke liye antibiotic chahiye. Bohat kam, nali se khoon ya mamooli chot lag sakti hai. Team test se pehle in khatron ko samjhayegi aur bataye gi ke inhein kaise kam kiya jata hai.

Aap ke nateeje

Report dabao aur woh miqdar batati hai jo bladder bharne se pehle aur khali hone se pehle rakhta hai. Urologist ise alamaat aur dusre tests ke saath parhta hai.

Yahan pass ya fail nahi hota. Nateeja urologist ko ilaaj tay karne mein madad deta hai, jaise bladder ki training, dawaon ki qism, ya dusre ikhtiyaraat. Report apne urologist ko dikhayein aur saath mil kar parhein.

Aam sawalaat

What it is and why it is done

Urodynamics shows how the bladder and the muscles around it behave. Your urologist may ask for it if you leak urine, pass urine very often or very urgently, cannot empty the bladder fully, or have a nerve condition that affects the bladder. It is also used before some operations for incontinence or prolapse, and sometimes after an operation on the prostate.

The test helps decide whether the problem is in the bladder muscle, the nerves, the outlet, or a mixture of these. The result guides treatment, so it is usually worth doing when your urologist asks for it.

Before the test

• Tell the team about any recent urine infection, because the test may be delayed until it has been treated.
• Tell the team about any condition affecting the nerves or spine, including back surgery or spinal injury, because this changes what the team looks for.
• Tell the team if you may be pregnant. Urodynamics is usually postponed in early pregnancy.
• Your team may give you an antibiotic to prevent infection. If so, take it exactly as you are told.
• Do not stop any medicine on your own. Your urologist will tell you if anything needs changing.
• Wear loose, comfortable clothes that are easy to take off.

During the test

A thin, soft tube (catheter) is gently passed into the bladder through the urethra. For some tests, a second fine tube is placed in the back passage to measure the pressure around the bladder. Your team explains each step before it happens.

The bladder is then filled slowly with a sterile fluid. You are asked to say when you first feel the urge to pass urine, when it becomes strong, and when you feel you cannot hold on. You may be asked to cough, stand, or pass urine into a machine at the end. The whole test usually takes some time, so please plan a relaxed visit.

You may feel pressure, a need to pass urine, or a short sting when the tube goes in. Tell the team if it becomes uncomfortable, because they can slow down or pause.

After the test

• Many people go home the same day.
• You may have burning, a feeling of needing to pass urine often, or a little blood in the urine for a day or two.
• Drink plenty of water, especially in hot weather.
• Tell the team straight away if you develop a fever.

Possible risks

Mild burning, a feeling of needing to pass urine, and a little blood in the urine are common and usually settle quickly.

Less common, a urine infection can develop, which may need antibiotics. Rarely, the tube can cause bleeding or minor injury. Your team will explain the risks before the test and tell you how they are reduced, for example with antibiotics.

Your results

The report describes the pressures and how much urine the bladder holds before it feels full and before it empties. Your urologist reads it together with your symptoms and other tests.

There is no simple pass or fail. The result helps your urologist decide on treatment, such as bladder training, medicines by type, or other options. Please take the report to your urologist and go through it together.

Common questions