Urodynamic testing

When the test is performed

• the work-up of frequent urination, urinary urgency, a weakened stream and residual urine,
• the work-up of urinary incontinence - the test allows correct qualification for a procedure,
• before procedures to remove a prostate adenoma, including HoLEP laser enucleation.

Urodynamic testing is not a routine test. It is performed in difficult and ambiguous cases, and in patients whose earlier procedure for benign prostatic hyperplasia brought no improvement. It is, however, a basic test in people after neurological injury and in neurological conditions that disturb the function of the lower urinary tract - for example Parkinson's disease or multiple sclerosis.

How to prepare

• You should have a bowel movement the evening before or on the morning of the test (a mild laxative may be used).
• Come to the test with a full - but not overfilled - bladder.
• Prepare information about any previous procedures and the medications you currently take.
• Bring all your existing medical records - test results, discharge letters and reports from earlier procedures.

How the test works

Uroflowmetry

You urinate into a special device that analyses the flow rate and duration, the volume and the voiding curve. This part is painless and non-invasive.

Cystometry

After thin catheters are placed (into the bladder and rectum), the bladder is slowly filled with saline. We record the activity of the detrusor muscle, the pressures and any episodes of incontinence, and then analyse the voiding phase. The test is carried out under local anaesthesia. In selected cases I supplement the test with additional measurements.

After the test

I do not use routine antibiotic prophylaxis before the test; in selected cases I recommend a urinary antiseptic (nitroxoline or furazidine). I discuss the result with the patient along with a plan for the next steps.

Video

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A short clip on what a urological examination looks like - what to expect during the visit (in Polish).

Urodynamic testing price in Kraków

Urodynamic testing costs PLN 1,500. The price may be set individually depending on the case.

• Urodynamic testing - PLN 1,500
• Urology consultation qualifying for the test - PLN 350, ultrasound included in the visit when needed
• Payment by cash, card or BLIK · invoice on request
• Private visits, not covered by the Polish NFZ

The full list is on the pricing page.

Where I perform urodynamic testing in Kraków

I perform the test at Andromeda Centrum Medyczne on ul. Mogilska 69A in Kraków - the Grzegórzki district, 31-545 Kraków. It is done on site, in the treatment room; it requires neither a hospital stay nor general anaesthesia.