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Urodynamics
This is a branch of urology which deals with the dynamic study of the
bladder. It consists of uroflow and pressure flow studies.
Uroflow is a voiding study which
measures the velocity of the voided urine as a function of voided volume
and compares it with a series of nomograms. This tells the urologist
whether the person is having obstruction or not during voiding.
Pressure Flow
This is a more detail study of the bladder. This is carried after
inserting pressure transducers in the bladder and rectum to measure
pressures and a filling line in the bladder. In this study, the
urologist finds out how the bladder behaves to different volumes of
filling.
The study is in two phases the
filling phase and voiding phase and the parameters studied are bladder
volume, sensations, detrusor compliances and stability during filling
phase and detrusor contraditiy and evidence of obstruction during
voiding.
By compiling this test with EMG we
can find detrusor ext. sphincter dysynergia. This pressure flow test is
done in patients with prostatic enlargement, neurological problems
spinal injuries, incontinence patients.
Andrology & Sex Clinic
We have very advanced gadgets to investigate problems of erectile
dysfunction. The basic test is the Rigi scan.
Rigiscan is a highly advanced gadget
which records the different events that accompany erection. It is a very
useful tool to differentiate between functional and organic ED.
In the OPD we have facilities to
carry out a provocative Rigiscan where we give a visual stimulus in form
of erotic movies. This we combine with oral medications to increase the
efficiency of the test. It is a helpful if the patient takes this test
in company of his female partner.
We also have facilities for intra
cavernosal injections, vacuum pump and colour Doppler studies. We also
provide facilities for implantation of artificial prostesis for patients
where conservative management fails.
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