Dr. Gandhi of Partners in Pelvic Health North Shore Urogynecology provides assistance for patients with pelvic organ prolapse, incontinence, bladder infections, and sexual dysfunction. In order to diagnose these conditions properly, he uses a variety of tools and tests.
Typically, your doctor will begin with some common tests, which include:
Urinalysis
A urine sample will be sent to a lab to check for microscopic (invisible to the naked eye) blood, signs of infection, and other abnormalities. A urine culture will screen for a bladder infection (UTI or urinary tract infection).
Bladder Diary
You may be asked to complete a 24-hour log of your fluid intake, urine output, and leakage episodes. Such a bladder diary helps the doctor understand how your bladder functions during your usual activities.
If additional information is needed, your doctor may recommend specialized testing. These tests may include:
Uroflowmetry
You will be asked to urinate on a commode. The specialized equipment will measure urine output and urine flow.
Post-Void Residual Measurement (PVR)
After you urinate, an assistant will use a catheter to determine how much urine is left in your bladder. If there is a large amount remaining, there is possibly a problem with the muscles or nerves of the bladder or some type of urinary tract obstruction.
Stress Test
In this test, you will be asked to bear down or cough vigorously in order for the doctor to test for loss of urine.
Pelvic Ultrasound
This test can check for abnormalities of the genitals or urinary tract.
Urodynamics
Urodynamics is a test that is performed to help better understand how your bladder functions. This test gives specific information relating to how your bladder muscles store and eliminate urine. It is important to know how your bladder functions to determine the best treatment for your symptoms.
Cystoscopy
Cystourethroscopy is a procedure routinely done using topical anesthetic. This procedure allows the physician to examine inside the bladder as well as the urethra while looking for any inflammation, cancers, or tumors that may be contributing to some urinary symptoms.
