Urogynecologic testing

The first step to finding relief from your pelvic pain or urogynecologic concern is getting an accurate diagnosis. At Novant Health Urogynecology, we understand how frustrating it can be to have unexplained pelvic pain or to have a health care provider who cannot give you accurate answers to your concerns. That is why we promise to get to the root of your concerns and not give up until we are certain what is causing your pain. 

We offer the most advanced diagnostic testing available, much of it in our office. Our providers have years of experience in the field of urogynecology, so they can quickly determine what tests or diagnostic procedures, if any, will be necessary. Even if you need a test or diagnostic procedure outside of our office, we will coordinate those services and oversee your care; you will not leave our office without the answers you need.

In-office procedures

The following is a list of common diagnostic procedures completed in our office, followed by a list of some of the disorders they help to assess or diagnose. We will work to make you as comfortable as possible during any procedure and will work with your insurance whenever possible to get necessary pre-approval. If lab testing is required, you might receive a bill for that work separate from your office visit.

Anal Manometry

Used to assess fecal incontinence and other problems related to eliminating waste from the body, anal manometry involves the use of a balloon catheter to test the function of the rectum.

• Frequently used to diagnose bowel control conditions (fecal incontinence).

Cystoscopy

For patients experiencing problems related to the urethra or bladder, a cystoscopy can allow your provider to examine these structures and look for signs of inflammation, stones or tumors. Small samples of bladder tissue can also be removed during this procedure for further testing. The test uses a cystoscope, a small instrument which guides attached lenses and mirrors through the body. This procedure is generally painless.

• Frequently used to diagnose urinary incontinence, overactive bladder, cystitis, pelvic pain, bladder pain or emptying disorders.

Electrodiagnostic testing

Also called EMG, electrodiagnostic testing examines nerves and muscles in the pelvic floor and can identify disorders that can cause muscle weakness or effect nerve function.

• Frequently used to diagnose incontinence, pelvic organ prolapse and pelvic pain.

Pelvic muscle weakness assessment

For patients with symptoms of incontinence or prolapse that could be caused by pelvic muscle weakness, a pelvic muscle weakness assessment helps determine the strength of pelvic muscles.

• Frequently used to diagnose incontinence, overactive bladder, pelvic organ prolapse, pelvic pain, bladder pain and emptying disorders.

Ultrasound

Sound waves are used to create computerized images of structures inside the body such as the anal sphincter, bladder, urethra, ureters or other pelvic organs. Ultrasound scans can reveal abnormalities in the structure or function of these body parts.

• Frequently used to diagnose incontinence, overactive bladder, pelvic organ prolapse, cystitis, pelvic pain, bladder pain, emptying disordes and vaginal cosmetic issues.

Urodynamic testing

Also called complex bladder testing, this procedure looks at the overall function of the bladder and urinary tract. It can determine the storing and emptying capacity of the bladder and can examine what is occurring in the bladder when a patient is feeling leaking or urgency. This test is generally painless.

• Frequently used to diagnose urinary incontinence, overactive bladder, bladder pain and emptying disorders.

Once you receive a detailed diagnosis, your provider will discuss both nonsurgical and surgical treatment options to determine the best course of treatment for you.