Urodynamics

The bladder is the organ that stores and discharges urine. The bladder, urethra (urinary canal) and sphincter muscles (muscles that control urination) work in harmony, allowing us to hold urine and discharge our urine at the time we want. Proper functioning of the bladder, in addition to ensuring dryness, is also an important factor in preventing the development of urinary tract infections.
Urodynamic examinations evaluate the functions of the bladder, diagnose normal/abnormal functioning conditions, and provide guidance for treatment. Urodynamic examinations evaluate bladder capacity, pressures during and at the end of bladder filling, uncontrolled contractions that may occur during filling, urinary incontinence, urination functions, and the amount of residual urine remaining in the bladder at the end of urination.
Those with frequent urinary tract infections
Those who wet the bed - incontinence
Those with urination disorders
Urinary duct stenosis - obstruction.
Those born with a closed anus (Anal atresia)
Those born with Spina Bifida (vertebral gap)
Those with spinal cord paralysis

Patients with congenital bladder dilatation
Patients who apply to Göztepe Pediatric Surgery clinic for Urodynamic examination have a full urinalysis and urine culture performed one week before the procedure. Treatment is arranged for patients with active urinary tract infection, and the procedure can be performed after recovery.
The most important factor affecting the urodynamic examination is that the patient defecates during the procedure or the rectum is filled with feces. For this reason, enema is performed immediately before the procedure to empty the rectum.
A soft and thin catheter is placed from the urinary tract to the bladder under sterile conditions and the patient is connected to the urodynamic device. Another thin catheter is placed in the rectum. The device makes measurements while the specified speed and amount of liquid is filled into the patient's bladder. At the end of the filling, the procedure is completed after the patient urinates into a special container.

Some patients cannot fully relax their sphincter muscles (muscles that control excretion) when urinating or defecating. Since excretion is not complete, urine or fecal residue is left behind. These residues, which need to be eliminated from the body, may lead to undesirable conditions such as urinary tract infection, urinary and/or fecal incontinence, or bladder disorder.
In the Biofeedback training performed at Istanbul Medeniyet University Göztepe Pediatric Surgery Clinic, muscle contractions are measured with electrodes attached to the anus area and the abdominal wall. The patient is made to watch cartoon characters on the computer screen and play games integrated into muscle contractions with the help of electrodes. Thanks to these exercises, patients become aware of the muscles that control excretion, learn to contract and relax them, and strengthen the muscles.
The biofeedback training system is an accessory of the Urodynamics device. On average, successful results are obtained from patients after approximately 10 sessions at one-week intervals.

PDF dökümanı(PDF)

PDF önizleme

PDF dökümanı(PDF)

PDF önizleme

PDF dökümanı(PDF)

PDF önizleme