Advanced Diagnostic Tools

We use advanced diagnostic tools to provide accurate diagnoses and treatment options. The key tools are explained below.

Urodynamic Testing

Urodynamic testing, Cystoscopy, Ultrasound advanced diagnostic tools for urogynecologyUro means urinary system or “bladder” and Dynamic means “active changes.” Urodynamic Testing is a way of evaluating the active changes and behaviors that occur during the function of the urinary bladder, urethral sphincter, and pelvic floor muscles.

The test usually involves the placement of a very small catheter, or tube, in the bladder, and another small tube in the rectum. Sterile fluid is then used to fill the bladder, so that your doctor can tell how the bladder behaves as it is getting full. This test can be very helpful to figure out what parts of your bladder are not functioning correctly and the results of this test will often help your doctor determine the best treatment for you.

The testing should not be painful. The catheters are generally very small. It is important to remember that these tests can often help you find the right treatment to fix these problems. Your doctor may request that you arrive at the office with a full bladder, if you can.


Cystoscopy is a way to look at the inside of your bladder with a camera. Numbing gel maybe placed in the urethra, which is the tube that connects your bladder and the outside. After this, a tiny telescope is passed into the bladder. Sterile fluid is then used to fill the bladder, so that your doctor can see inside. This allows your doctor to make sure that there are no abnormalities which might be causing your bladder symptoms such as stones, tumors or inflammation. The testing should not be painful. The test generally takes between 10 and 30 minutes. You will know the results immediately after the test.

Anorectal Manometry

Anorectal manometry testing is usually performed to asses the function of the rectum, the anal sphincter muscles and the process of defecation. A small catheter is placed in the rectum and attached to a computerized pressure measuring system. A series of measurments are performed including anal sphincter strength, rectal sensations and reflexes. The test is not painful and takes about 20-30 minutes. This test can be valuable in evaluating patients who complain of accidental bowel leakage, obstructive defecation and incomplete rectal empyting.