
Urodynamics
The Urodynamics Unit aims to provide an accurate diagnosis of urination disorders and urinary incontinence in order to recommend the best treatment. We study women and men of all ages, as well as children. Since its creation in 1996, more than 10,000 patients have been studied. It is the largest private referral centre in Spain. In 2016, it received the Professional Excellence Award from the Barcelona Medical Association in recognition of its efforts.
Urodynamic study
This examination helps us assess how well your bladder is functioning. The first part of the test involves urinating into a container called a flow meter, which measures the speed of the urine flow. Next, a small amount of lubricant will be applied through the urethra (urinary tract) and a very thin bladder catheter will be inserted until it reaches the bladder; occasionally, it may be necessary to insert another catheter through the rectum. The bladder will be slowly filled with sterile saline solution. To complete the test, you will be asked to urinate with the probes in place. At the end of the test, all probes will be removed. The test takes between 30 and 60 minutes and is not painful. For a few hours afterwards, you may feel some discomfort or stinging when you urinate, need to urinate frequently, or notice that your urine is pink in colour. These symptoms can be alleviated by drinking more water than usual. If they persist, consult your doctor. After the test, you will be prescribed an antibiotic to prevent a urinary tract infection. It is important that you come feeling like you need to urinate.
Flowmetry
This test is designed to assess how well the patient empties his or her bladder. To do this, the patient should arrive feeling the need to urinate and will do so in a special toilet to measure the speed and amount of urine. If the amount is insufficient, the test is invalid and must be repeated: you should drink water and wait until you feel the urge to urinate again. It is preferable that you come without rushing and under normal conditions, as it is important to know how you usually urinate.
Home flowmetry - Flowtaker
Paediatric urodynamic study
This is a test that allows us to see how your child's bladder is functioning. The treatments indicated are more likely to be successful. The test is carried out in strict privacy by specialised personnel. First, your son or daughter will be asked to urinate into a special container. That is why it is important that patients should come in feeling a need to urinate. During the test, you may stay in the examination room with your son or daughter. Next, a small amount of local anaesthetic lubricating gel will be applied through the urethra (urinary tract), followed by a thin, flexible tube called a catheter, which will be inserted into the bladder. It's a bit uncomfortable, but the test isn't painful. If your child has urine leakage, this may also occur during the test: this is one of the objectives of the test. When finished, all probes are removed. The entire test takes between 30 and 60 minutes, and you will be given instructions on each step. After the test, you will be prescribed medication to prevent a urinary tract infection. You may experience some discomfort or stinging when urinating for a few hours, need to urinate frequently, or notice that your urine is pink in colour. All of this disappears after a short time and can be reduced by drinking more water than usual. If you experience further discomfort, you should consult your regular urologist.
Pad Test
This test measures urine loss by weighing the pad. To do this, you need to come with the urge to urinate. You will be given a pad (previously weighed) to place in your underwear. You will then be asked to drink water, and you will be able to walk around the clinic and perform a series of simple everyday activities for 30 minutes. At the end, the pad or pads used during the test will be weighed and you will be asked to urinate into a special sink.
Nocturia Study
Nocturia is the symptom of getting up to urinate at least twice during the night. It may be due to various illnesses or certain habits (drinking at night). The Teknon Foundation, together with the Urodynamics Unit, is promoting this study, which has been approved by the Ethics and Clinical Research Committee of the Centro Médico Teknon. Dr J.E. Batista, coordinator of Urodynamics, is responsible for the study. The aim of the nocturia study is to observe people who have this symptom, assess at what time of night they get up to urinate and the force of their urination.
Our team is a pioneer in Spain in the use of a home-based method: functional assessment at home using the MINZE device. It is a device that records the time and characteristics of each time the patient urinates for at least 3 days, although it can record for more than a week. The patient takes the device home and records all urination for several days. You will need a mobile phone that will connect to the device via Bluetooth and transmit all the information. After the agreed period, the device is returned and the data are analysed. After several years researching these methods and contributing to the development of this new system, we can offer our patients a simple and useful method for women, men and children with urination disorders (difficulty, frequency, incontinence, bedwetting). This system is highly reliable and avoids the need for some hospital tests, reducing the risk of exposure to COVID-19.
Thanks to the study, we will be able to provide your urologist with information about your symptoms and suggest treatment options.
Incontinence
Many people suffer from incontinence or urinary disorders but do not tell their doctor. Delays in getting a correct diagnosis are very common.
There is a misconception that incontinence is a normal part of ageing and that there are no effective treatments. This situation has changed over the last 20 years with the development of new drugs and new surgical techniques. In order to prescribe the appropriate treatment, a thorough diagnosis of bladder function is necessary. Urodynamic studies enable accurate diagnosis and more effective treatment.
By their nature, these studies involve patient privacy. That is why our staff and environment are specially prepared to respect this need to the utmost.