Diagnostics and Testing
Bladder, bowel and pelvic floor tests that replace guesswork with measurements, so your treatment fits the actual cause of your symptoms.
Pelvic floor symptoms often overlap, and the same symptom can have more than one cause. Testing gives Dr. Solafa Elshatanoufy objective information about how your bladder, urethra, rectum and pelvic floor muscles work. Most tests are done in our Katy office, are well tolerated and need no sedation. We will always explain why a test is recommended and help you decide.

Tests We Offer
Choose a test to learn what it involves and how to prepare.
Urodynamic Testing
Measures how the bladder fills, stores and empties. Used for complex or mixed incontinence and before surgery.
Cystoscopy
A thin camera look inside the urethra and bladder for blood in the urine, recurrent infections and bladder pain.
Anorectal Manometry
Measures anal sphincter strength, rectal sensation and coordination for bowel leakage and constipation.
Defecography
Imaging of the rectum and pelvic floor during bowel emptying, performed in a radiology setting.
Which Test Is Right for Me?
Many women need no testing beyond a history, exam and simple office checks. Specialized tests are added when they will change your treatment.
Simple office checks
- Urinalysis and culture: to look for infection or blood
- Post-void residual: a quick bladder scan after you urinate
- Cough stress test: to confirm stress leakage
- Bladder diary: a record of fluids, bathroom trips and leaks
- Pelvic ultrasound: for fibroids, cysts and other structural causes
Specialized tests by symptom
- Mixed leakage or before surgery: urodynamic testing
- Blood in the urine or recurrent UTIs: cystoscopy
- Bladder pain: cystoscopy in selected cases
- Bowel leakage: anorectal manometry
- Difficulty emptying the bowel: manometry and defecography

Results You Can Understand
Dr. Solafa Elshatanoufy is board-certified in female pelvic medicine and reconstructive surgery. She reviews every result with you in plain language and explains how it shapes your treatment, whether that is pelvic floor therapy, medication, an office procedure or surgery.
Diagnostic Testing FAQs
Are these tests painful?
Most women describe the tests as mildly uncomfortable rather than painful. No sedation is needed for office tests.
Do I need a referral for testing?
Some insurance plans require one. Our team can help you check your plan before testing.
Can testing be done on the same day as my consultation?
Usually testing is scheduled after your first visit, once we agree it will be helpful. Simple office checks are often done at the first visit.
How should I prepare?
Each test page has preparation steps, and our team will give you instructions when you schedule.
Where is testing done?
Urodynamics, cystoscopy and anorectal manometry are done at our Katy office. Defecography is performed in a radiology setting.
Questions About Testing?
Call our office or request an appointment to talk about your symptoms and whether testing will help.
410 W Grand Pkwy S, Suite 320, Katy, TX 77494
