What are the best practices for conducting a bladder pressure assessment?

Updated: Jan 16, 2020
  • Author: Pamela I Ellsworth, MD; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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Answer

Undergoing a urodynamic study can provoke anxiety in a patient. Issues such as modesty and concern regarding discomfort during and after the procedure may be worrisome to the patient.

It is ideal for the room where the procedure will be performed to be quiet and separate from busy patient flow areas. Avoid loud music and interruptions by other staff during the procedure. Also, all reasonable attempts to maintain patient modesty should be undertaken.

Lastly, it is important to engage the patient during the procedure, as it is imperative to document what the patient is sensing during the procedure (ie, urgency at the time of an involuntary detrusor contraction, sensation when he/she would first think of using the restroom, when he/she feels a strong urge to void that would prompt voiding).


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