FIRST VISIT:
Detailed H&P with a targeted exam concentrating on pelvic floor defects, urinary and defecatory dysfunction
Preliminary complex Uroflow
Bladder ultrasound
Urine analysis +/_- Urine C/S
A patient’s definitive diagnosis may sometimes be apparent after the above initial evaluations, and management can be detailed and/or started. Most patients will require further pelvic floor and urinary work-up to better clarify their problems. These will include some or all of the following:
Urodynamic testing
Cystourethroscopy
Simple cystometrogram
Potassium sensitivity test
Pelvic ultrasound
Renal ultrasound
Endoanal/trans-rectal ultrasound
A description of all the above tests in a consumer friendly language is made available to your patients before the tests are actually performed.
Neuromodulation is a clinically proven, FDA approved (since 1997) therapy for management of Refractory OAB (Overactive Bladder), Incomplete Bladder Emptying (not due to outflow obstruction), and Fecal Incontinence (the latest since March 2011).