Who may need urodynamics
- Before surgery for urinary incontinence or prolapse
- When leakage continues or returns after surgery
- Mixed, unclear or severe bladder symptoms that have not improved with first treatments
- Difficulty emptying the bladder, a weak stream or repeated urine infections
- Bladder problems linked to a neurological condition, such as multiple sclerosis, spinal cord injury or stroke, including regular follow-up testing
What happens during the test
Two fine, soft tubes are placed, one in the bladder and one in the vagina or back passage. The bladder is slowly filled with sterile fluid while pressures are recorded, and you are asked to cough, describe what you feel and then pass urine. The test takes about 45 to 60 minutes. Most women find it mildly uncomfortable rather than painful.
Before the test: you may be asked to keep a three-day bladder diary, and to have a urine test to rule out infection. You will be told if any medicines should be paused.
If you have a spinal cord injury, especially at chest level or above, please tell the team when booking. Your test will be planned and monitored with this in mind.
Where the test is done
Consultations are at Maisha Clinic, Parklands. Urodynamic studies are performed at a Nairobi hospital where Dr Achila has clinical privileges, and the team will give you full details when you book. Results are explained to you in person, with a clear plan.
For referring clinicians
Dr Achila welcomes referrals for urodynamic assessment of women and girls, including complex, recurrent and neurogenic cases and surveillance studies. A written report with interpretation and recommendations is returned to the referring clinician. Contact the practice by phone, WhatsApp or office@bobachila.com.
Common questions
Does urodynamic testing hurt?
Most women feel mild discomfort only. The tubes are very fine and the test is done gently.
Is there any risk?
The main risk is a urine infection, which is uncommon. You may notice slight stinging when passing urine for a day.
Do I need a referral?
No. You can book directly, or your doctor can refer you.
How much does it cost?
It depends on the hospital and your insurance. The team will give you an estimate when you book.
General information only. It does not replace a medical consultation.