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Estudo urodinâmico é um exame minimamente invasivo que simula a fase de armazenamento de urina na bexiga urinária e de micção. Geralmente é realizado para investigar disfunções miccionais, como incontinência urinária de esforço, bexiga hiperativa e bexiga neurogênica, além de outras condições.
No exame é possível aferir a pressão dentro bexiga e/ou da prensa abdominal e, assim, inferir e entender quais mecanismos o paciente usa durante o processo miccional. Além disso, essa avaliação permite avaliar capacidade de armazenamento da bexiga, como a bexiga acomoda esse volume urinário, se o músculo da bexiga exprime contrações involuntárias, como é o relaxamento da musculatura para esvaziamento da bexiga, entre outros dados importantes na avaliação do paciente com sintomas urinários baixos. Em alguns casos, é possível também contrastar a via urinária com uma medicação e visualizar esse processo de enchimento e esvaziamento vesical fazendo uso de radioscopia/radiografias (videourodinâmica).
O exame é realizado com o paciente acordado. Isso é importante pois é necessário que o paciente diga ao médico executor/avaliador o que sente durante as etapas do exame, como urgência miccional e desejo de urinar.
Digo que esse exame é minimamente invasivo pois, para avaliar essa pressão abdominal e intravesical, é necessário colocar sondas finas no canal uretral e retal. Essas sondas são colocadas com o paciente desperto, sob anestesia local realizada com gel tópico. Não é comum o paciente referir dor durante a colocação dessas sondas. Em geral, a queixa é de leve desconforto na introdução da sonda uretral, mas que é autolimitada.
E como é o exame? A primeira etapa consiste no paciente urinar conforme faz em casa (sentado ou em pé). Após esse momento são introduzidas as já referidas sondas que, por sua vez, são conectadas a um aparelho que lê essas pressões abdominais e vesicais. A partir desse momento inicia-se, então, o enchimento vesical, que é realizado com solução estéril. Durante essa etapa é importante que o paciente conte ao médico que está realizando o exame o que está sentindo: vontade de urinar leve/moderada/forte, vontade súbita de urinar (urgência), perda de urina (caso o urologista não note), desconforto. Além disso, são realizadas manobras provocativas como tosse e Valsalva. Quando alcançar o momento de sensação de ‘bexiga cheia’ o paciente é posicionado para urinar com esses dispositivos para que, assim, durante a micção, seja possível entender como o corpo trabalha para urinar. Após esvaziar a bexiga, essas sondas são facilmente retiradas e acaba o exame. Todo esse processo costuma durar de 45 a 90 minutos, dependendo da tolerância e colaboração do paciente.
Antes do exame não é necessário nenhum cuidado específico. É importante que o paciente não esteja com quadro de infecção de urina vigente. É possível realizar o estudo urodinâmico também em crianças, desde que elas entendam e concordem com o processo.
O exame é realizado em caráter ambulatorial. Ou seja, após a realização é possível que o paciente vá para casa. As queixas mais comuns depois de realizado o estudo é disúria (ardência ao urinar) e mínima hematúria (sangue no xixi). Alguns perfis de pacientes precisam tomar antibiótico após o procedimento para que se evite um episódio de infecção de urina. Sim, é possível desencadear um episódio de infecção mesmo tomando todos os cuidados durante a execução do exame. Portanto, além das orientações das alterações possível após o estudo urodinâmico, tomar antibiótico quando for prescrito pelo médico avaliador, é importante aumentar a ingesta de líquidos para diminuir esses sintomas.
O estudo urodinâmico é uma avaliação pontual do quadro dos pacientes. Portanto, é importante salientar que nem sempre o exame vai retratar de forma fidedigna o que acontece no dia-a-dia ou comprovar/documentar as queixas que o paciente apresenta.
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filter_hue=”0″ filter_saturation=”100″ filter_brightness=”100″ filter_contrast=”100″ filter_invert=”0″ filter_sepia=”0″ filter_opacity=”100″ filter_blur=”0″ filter_hue_hover=”0″ filter_saturation_hover=”100″ filter_brightness_hover=”100″ filter_contrast_hover=”100″ filter_invert_hover=”0″ filter_sepia_hover=”0″ filter_opacity_hover=”100″ filter_blur_hover=”0″]https://grupoelasbrasilia.com.br/wp-content/uploads/2021/05/Rhani-Ferreira.jpg[/fusion_imageframe][/fusion_builder_column_inner][fusion_builder_column_inner type=”2_3″ layout=”2_3″ align_self=”auto” content_layout=”column” align_content=”flex-start” valign_content=”flex-start” content_wrap=”wrap” spacing=”” center_content=”no” link=”” target=”_self” min_height=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” sticky_display=”normal,sticky” class=”” id=”” type_medium=”” type_small=”” order_medium=”0″ order_small=”0″ dimension_spacing_medium=”” dimension_spacing_small=”” dimension_spacing=”” 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text_shadow_blur=”0″ text_shadow_color=”” margin_top_medium=”” margin_right_medium=”” margin_bottom_medium=”” margin_left_medium=”” margin_top_small=”” margin_right_small=”” margin_bottom_small=”” margin_left_small=”” margin_top=”” margin_right=”” margin_bottom=”2px” margin_left=”” margin_top_mobile=”” margin_bottom_mobile=”” text_color=”#202020″ animated_text_color=”” highlight_color=”” style_type=”default” sep_color=”” link_color=”” link_hover_color=”” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=””]Dra. Rhani Ferreira[/fusion_title][fusion_title title_type=”text” rotation_effect=”bounceIn” display_time=”1200″ highlight_effect=”circle” loop_animation=”off” highlight_width=”9″ highlight_top_margin=”0″ before_text=”” rotation_text=”” highlight_text=”” after_text=”” title_link=”off” link_url=”” link_target=”_self” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” sticky_display=”normal,sticky” class=”” id=”” content_align_medium=”” content_align_small=”” content_align=”left” size=”6″ font_size=”” animated_font_size=”” fusion_font_family_title_font=”Poppins” fusion_font_variant_title_font=”700″ line_height=”” letter_spacing=”” text_shadow=”no” text_shadow_vertical=”” text_shadow_horizontal=”” text_shadow_blur=”0″ text_shadow_color=”” margin_top_medium=”” margin_right_medium=”” margin_bottom_medium=”” margin_left_medium=”” margin_top_small=”” margin_right_small=”” margin_bottom_small=”” margin_left_small=”” margin_top=”” margin_right=”” margin_bottom=”” margin_left=”” margin_top_mobile=”” margin_bottom_mobile=”” text_color=”#202020″ animated_text_color=”” highlight_color=”” style_type=”default” sep_color=”” link_color=”” link_hover_color=”” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=””]Urologista em Brasília, CRM-DF: 21358, RQE: 19329[/fusion_title][fusion_text columns=”” column_min_width=”” column_spacing=”” rule_style=”default” rule_size=”” rule_color=”” content_alignment_medium=”” content_alignment_small=”” content_alignment=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” sticky_display=”normal,sticky” class=”” id=”” margin_top=”” margin_right=”” margin_bottom=”10px” margin_left=”” font_size=”” fusion_font_family_text_font=”” fusion_font_variant_text_font=”” line_height=”” letter_spacing=”” text_color=”” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=””]Urologia[/fusion_text][fusion_text columns=”” column_min_width=”” column_spacing=”” rule_style=”default” rule_size=”” rule_color=”” content_alignment_medium=”” content_alignment_small=”” content_alignment=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” sticky_display=”normal,sticky” class=”” id=”” margin_top=”0px” margin_right=”” margin_bottom=”10px” margin_left=”” font_size=”15px” fusion_font_family_text_font=”Poppins” fusion_font_variant_text_font=”400italic” line_height=”” letter_spacing=”” text_color=”#7e858e” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=””]“Cuidar de pessoas é um desafio e uma dádiva!”[/fusion_text][fusion_button link=”https://grupoelasbrasilia.com.br/rhaniferreira/” text_transform=”” title=”” target=”_self” link_attributes=”” alignment_medium=”” alignment_small=”” alignment=”” modal=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” sticky_display=”normal,sticky” class=”” id=”” color=”default” button_gradient_top_color=”” button_gradient_bottom_color=”” 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sticky_display=”normal,sticky” class=”” id=”” fusion_font_variant_title_font=”700″ fusion_font_family_title_font=”Open Sans” margin_bottom=”30px”]Agende sua consulta[/fusion_title][fusion_button link=”https://grupoelasbrasilia.com.br/contato/” text_transform=”” title=”” target=”_self” link_attributes=”” alignment_medium=”” alignment_small=”” alignment=”center” modal=”” color=”default” button_gradient_top_color=”” button_gradient_bottom_color=”” button_gradient_top_color_hover=”” button_gradient_bottom_color_hover=”” accent_color=”” accent_hover_color=”” type=”” bevel_color=”” border_width=”” border_radius=”” border_color=”” border_hover_color=”” size=”” stretch=”default” icon=”fusion-prefix-fa-envelope-dot” icon_position=”left” icon_divider=”no” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” sticky_display=”normal,sticky” class=”” id=””]AGENDE SUA CONSULTA[/fusion_button][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container]