Testing, diagnostic procedures and treatments at the Buffalo NIagara Center for Pelvic Health

Treatments & Testing

Find out more about our in office testing and treatments below. View more patient resources here, or request an appointment online now.

Bladder Instillations

Bladder instillations are often used to treat patients with Interstitial Cystitis. Instillations help decrease bladder irritation, relieve pain, relax the bladder and pelvic muscles, and increase bladder capacity. For this procedure, your bladder is filled with a solution that you hold for varying periods of time—ranging from several seconds to 15 minutes—before the bladder is drained with a catheter. Depending on the severity of your condition, the instillations may need to be repeated several times to relieve your symptoms.

Bladder Scan

A bladder scan uses a portable ultrasound device that measures the amount of urine in your bladder. You will be asked to urinate, and then your doctor or nurse will use the bladder scan to determine the amount of urine left in your bladder. This helps us diagnose and detect chronic urinary retention.

Bladder Stress Testing

A bladder stress test simulates the accidental release of urine that may occur when you cough, sneeze, laugh or exercise. While you’re lying down, a thin catheter is inserted into the bladder through the urethra, and fluid is inserted into the bladder through the catheter. (If your bladder is already full, the catheter may not be needed.)

The catheter is then removed, and you will be asked to cough. The doctor will look for any fluid loss and note the time interval between the “stress” (coughing) and the fluid loss. If the release of fluid is not detected during the bladder stress test, it may be repeated while you are standing. An absorbent pad may be worn to collect any urine released while you go about your daily activities.

Botox®

OnabotulinumtoxinA has been used to treat patients with neurogenic bladder, and the U.S. Food and Drug Administration recently expanded the approved use of Botox® (onabotulinumtoxinA) to treat adults with Overactive Bladder (OAB) who cannot use or do not adequately respond to oral medications. When Botox® is injected into the bladder muscle, it causes the bladder to relax, increasing the bladder’s storage capacity and reducing episodes of urinary incontinence. The doctor will use cystoscopy to see inside your bladder while injecting the Botox®.

Catheterization Teaching

Patients who are unable to empty their bladder can learn to pass a catheter into the bladder as needed. Our nursing staff is trained to work with you to ensure that you can comfortably and safely insert and remove your catheter.

Colposcopy

A colposcopy uses a light and a low-powered microscope to better view your cervix. This helps the physician find and, if necessary, biopsy abnormal areas in your cervix. For the test, you will lie on a table and place your feet in stirrups, just like you would for a pelvic exam. The doctor will then place an instrument (called a speculum) into your vagina to better see the cervix. Your cervix and vagina are gently swabbed with a vinegar or iodine solution to remove the mucus that covers the surface and highlight abnormal areas. The physician will place the colposcope at the opening of the vagina and examine the area. If any areas look abnormal, small samples of the tissue will be removed using small biopsy tools.

Cystoscopy

Cystoscopy allows your doctor to look at areas of your bladder and urethra that usually do not show up well on x-rays by using a thin, lighted instrument called a cystoscope. The cystoscope is inserted into your urethra and slowly advanced into the bladder. Tiny surgical instruments can be inserted through the cystoscope, enabling your doctor to remove samples of tissue (biopsy) or urine. Small bladder stones and some small growths can be removed during cystoscopy, potentially eliminating the need for more extensive surgery.

Percutaneous Tibial Nerve Stimulation (PTNS)

Percutaneous Tibial Nerve Stimulation is a low-risk, non-surgical treatment for patients experiencing Overactive Bladder (OAB) and symptoms of urinary urgency, urinary frequency and/or urge incontinence. PTNS works by indirectly providing electrical stimulation to the nerves responsible for bladder and pelvic floor function. During PTNS treatment, your foot is comfortably elevated and supported, and a slim needle electrode is placed near the nerve at the tibial nerve (ankle). A device known as the Urgent PC Stimulator® is then connected to the electrode and sends mild electrical pulses to the tibial nerve. These impulses travel to the group of nerves at the base of the spine responsible for bladder function.

By stimulating these nerves through gentle electrical impulses (called neuromodulation), bladder activity can be changed. Because this change happens gradually, patients typically receive a series of 12 weekly, 30-minute treatments. After the 12 treatments, we will assess your response to the PTNS therapy and determine whether additional treatments will be needed occasionally to maintain the results.

Pessary Fitting

A vaginal pessary is a removable device that is placed into your vagina to support areas of Pelvic Organ Prolapse. Pessaries may be made of rubber, plastic, or silicone-based material. Your doctor will help determine which type of pessary is best for you and will fit it to hold the pelvic organs in position without causing discomfort.

Sacral Nerve Stimulation (SNS) Trials

Nerve stimulation is a reversible treatment for patients experiencing Overactive Bladder (OAB), incomplete bladder emptying and fecal incontinence. Sacral Nerve Stimulation provides electrical stimulation to the nerves that control the bladder to help ease the symptoms of Overactive Bladder.

During a simple office procedure, a neurotransmitter device is implanted under the skin in the upper buttock area. This transmits mild electrical impulses through a lead wire close to your sacral nerve. These impulses influence the bladder sphincter and pelvic floor muscles providing bladder control. While SNS will not cure OAB, it can help reduce the number of voids and/or wetting episodes.

Urodynamic Tests

Urodynamic tests for urinary incontinence are measurements that help the physicians evaluate your bladder’s function and efficiency. For basic urodynamic testing performed in our office, you will be asked to arrive for testing with a full bladder. While you urinate into a container, the volume of urine and the rate at which your bladder empties will be measured. A thin catheter will then be inserted into your bladder through the urethra, and the volume of any urine remaining in your bladder—or post-void residual (PVR)—will be measured. Your bladder may also be filled with water through the catheter until you have the first urge to urinate. The amount of water in your bladder will be measured at that point. Then, more water may be added while you resist urinating until involuntary urination occurs.

How can we help?

How can we help?

If you’re suffering from discomfort, inconvenience or embarrassment due to urological or gynecological problems, we can help you. Contacting us is the first step to relief.

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