As per the guidelines of the American Urological Association (AUA) interstitial cystitis (IC) treatment urodynamics should be deemed to be the support for diagnosis only for those IC cases that seem complicated. These tests don’t have any role to play when it comes to making the investigation in simple cases.
Moreover, there are no urodynamic diagnostic criteria for IC that have been agreed upon and irregular findings in IC patients. Keep in mind that these tests can be stressful for patients because they’re awfully painful as well as uncomfortable for IC patients.
“Urodynamic testing is a process that checks how well the bladder, sphincters, and urethra store and release urine. It can also show whether the bladder is having uncontrolled contractions that result in urine leakage.”
However, there are certain cases of IC that are complex in nature and may call the need for urodynamic testing. Talking about urodynamic testing, it suddenly seems so clear why your doctor may carry out additional testing in case there happens to be signs as well as symptoms of other problems, including:
- Blood or pus in the urine,
- Overactive bladder,
- Endometriosis, or
- Gastrointestinal conditions.
For males, doctors find themselves in a challenging situation when it comes to diagnosing IC if there’s a misdiagnosis of chronic prostatitis or chronic pelvic pain syndrome (CP/CPPS).
Note – It’s important for you to know that urodynamics is not one test. It’s a group of tests that’s conducted for determining how well your lower urinary tract is working.
In addition, it gives doctors much needed information on the ability of your bladder as to how much it can hold, how much your bladder can hold before you have an urge to urinate, what the condition of your bladder muscle is, how well it is working and so on.
Urodynamic Testing and IC
Urodynamics tests can give any IC patient a hard time simply because they’re extremely difficult. In these tests, a small catheter into the bladder is inserted by the doctor. And after the patient is done emptying the bladder, the doctor or nurse may refill the same for taking special measurements. In general, it takes around half-an-hour for the doctor to carry out these tests.
- Postvoid residual measurement
- Cystometric test
- Leak point pressure measurement
- Pressure flow study
- Video urodynamics tests
Make sure you ask the following questions before you get ready to experience urodynamic tests and if you have IC that does not seem 100 percent clear:
- What answers can I expect from the tests about my disease?
- Can urodynamics truly be made comfortable for me? If yes, how?
- What changes would be made in my treatment based on the results?
- How much will the testing cost me?
One of the important questions you must ask your doctor is “How soon can I expect my test results?”
Well, results for tests (such as cystometry and uroflowmetry) are avaialble right away after the test is performed. On the other hand, results of other tests (electromyography and video urodynamic tests) may take a couple of days. A health care provider will have a talk with the patient to discuss about the results and other needed treatments.