Urodynamic Testing in Katy, TX
When bladder symptoms are complex or surgery is being considered, urodynamic testing shows exactly how your bladder is working.
Urodynamic testing is a group of office tests that measure how the bladder fills, stores and empties urine. Thin, flexible catheters record bladder and abdominal pressure while the bladder is slowly filled with sterile fluid. The test is not usually painful, needs no sedation and takes about an hour. At our Katy office, results help Dr. Solafa Elshatanoufy match your treatment to the cause of your symptoms.
Why Urodynamic Testing Is Done
A history and exam often explain bladder symptoms. Urodynamics adds measurements when the picture is unclear.
Common reasons
- Mixed stress and urge incontinence
- Leakage that has not improved with first treatments
- Before incontinence or prolapse surgery
- Difficulty emptying the bladder
- Neurogenic bladder, such as with MS
What it measures
- Uroflowmetry: the speed and pattern of your urine stream
- Post-void residual: urine left after you empty
- Cystometry: bladder pressure, capacity and sensation as it fills
- Leak testing: whether coughing or straining causes leakage
- Pressure-flow study: how well the bladder squeezes as you empty
- EMG: pelvic floor muscle activity, using small sticky pads
What to Expect
Before the test
- Arrive with a comfortably full bladder
- Bring your bladder diary if you were asked to keep one
- We will tell you if any bladder medications should be paused
- Let us know if you have symptoms of a urinary infection, as the test may need to be rescheduled
During the test
- You urinate into a special commode that measures your flow
- A thin catheter is placed in the bladder and a small sensor in the rectum or vagina
- The bladder is slowly filled while you report sensations
- You may be asked to cough or bear down
- You then empty your bladder with the catheters in place
Afterward, you may notice mild burning or more frequent urination for a day. Drinking extra fluids helps. Call us if you develop fever, chills or worsening pain, which can be signs of infection.
Understanding Your Results
Results can show whether leakage is caused by stress incontinence, an overactive bladder muscle or both, whether the bladder empties well, and how strongly it contracts. This helps decide whether treatments such as physical therapy, medication, nerve stimulation or a sling are most likely to help. Dr. Elshatanoufy will review the results with you.
Testing Reviewed by a Specialist
Dr. Solafa Elshatanoufy is board-certified in female pelvic medicine and reconstructive surgery, the subspecialty that relies most on bladder and pelvic floor testing. She explains why a test is recommended, what it involves, and what the results mean for your treatment.
Urodynamic Testing FAQs
Is urodynamic testing painful?
Most patients feel only mild discomfort when the catheters are placed. No sedation is needed.
How long does it take?
About one hour, including preparation.
Can I drive myself home?
Yes. You can return to normal activities right away.
Is there a risk of infection?
The risk of a urinary infection afterward is low. Call us if you develop fever or burning that gets worse.
Do I need a referral?
Some insurance plans require one. Please check with your insurance provider, and our team can help.
Other Tests
Anorectal Manometry
Measures anal sphincter strength, rectal sensation and coordination.
Questions About Urodynamic Testing?
Call our office or request an appointment to discuss whether testing is right for you.
410 W Grand Pkwy S, Suite 320, Katy, TX 77494