What are other tests used in the workup of bladder dysfunction?

Updated: Jan 04, 2019
  • Author: Gregory T Carter, MD, MS; Chief Editor: Elizabeth A Moberg-Wolff, MD  more...
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Answer

Cystoscopy is indicated in patients with recurrent urinary tract infections, especially those with bladder stones. It is also indicated for investigating the possibility of tumor or assessing trauma. Finally, it is useful for evaluation of the bladder outlet and urethra.

The evidence for or against the use of urodynamics rather than other methods for assessing bladder function in poststroke patients with urinary incontinence and bladder dysfunction is insufficient; however, urodynamics may be useful as an adjunctive diagnostic tool. [19]

Evaluation of complex lower urinary tract pathology is performed by using videourodynamics. This technique involves EMG studies during 3 phases, in conjunction with periodic screening of synchronous cystourethrographic studies of the bladder and outlet. Videourodynamics is particularly useful for the detection of sites of bladder outlet obstruction and detrusor-sphincter dyssynergia.


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