Urodynamics & Bladder Testing for Incontinence

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Many women have issues around incontinence, which involves the leaking or emptying of urine from the bladder, especially as we age. Multi-channel urodynamic testing is one way to evaluate urinary incontinence. It also is performed to evaluate bladder function before pelvic organ prolapse surgery.

We must perform this test before any kind of surgery is done on the bladder. Please let us know if you have had this done previously so we can obtain those results for review. This testing gives us a detailed evaluation of the function of the bladder and helps to identify problems with storing and emptying urine.

On the day of this test, you should come to the office with a full bladder. A trained technician will insert a small catheter into the bladder with a second catheter placed in the vagina. The bladder will be filled with sterile water and you will be asked to cough and “bear down,” and leakage will be recorded. You will be asked to identify different sensations with bladder filling. We will be able to identify spontaneous bladder contractions which are present in women with an overactive bladder.

The entire test takes approximately 20 minutes and is virtually painless to most patients.

Other tests of the bladder include cystoscopy, which is when a cystoscope is inserted through the urethra to visualize the bladder, which can help diagnose and even treat disorders involving the bladder and urethra.

One treatment for loss of bladder control is Botox, a prescription medication for incontinence due to an overactive bladder. In this procedure, which takes about 30 minutes in the Women First office, Botox is injected into the bladder during cystoscopy. The injection can last for up to eight months, helping control symptoms of urinary incontinence with minimal side effects.

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What People Are Saying

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Lindsey Kaelin
26 October 2026
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Truly one of the best women’s health visits I have ever had! Emily Fountain is so incredible and listened to all of my concerns and offered so many options to me that have NEVER been offered to me by any other healthcare provider before. I felt truly cared for. The staff is amazing and kind and QUICK! And the office is beautifully decorated and clean. I will never go anywhere else ever again!
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Madison Buckner
19 October 2026
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It can be difficult to feel heard when it comes to women’s health, however Dr. Aiken always takes her time & answers question’s thoroughly. Couldn’t recommend her enough!
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Lauren Hayes
25 September 2026
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Ultrasound tech, Emma, was phenomenal! She was so compassionate and took her time to make our experience great. We really appreciate the care she took during our ultrasound.
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Sidney
12 August 2026
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Highly recommend! From the moment I walked in to the moment I walked out, my care was thoughtful, caring, and the furthest thing from feeling dismissed at a doctor’s office. Ellie did a wonderful job making me feel heard, comfortable and validate what I had been experiencing. For a first visit, I left feeling reassured and grateful that I chose this office.
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Charisa McMahon
21 July 2026
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I highly recommend Audrey Fenwick. She truly takes the time to listen and never makes me feel rushed during my appointments. I always feel like my concerns are heard and taken seriously. What I appreciate most is that she’s willing to explore different treatment options rather than taking a one-size-fits-all approach. She works with me until we find a plan that we’re both comfortable with, and I always leave feeling confident that I’ve received thoughtful, personalized care. It’s refreshing to have a healthcare provider who is knowledgeable, compassionate, and genuinely invested in helping her patients feel their best.
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Amy Curry
26 June 2026
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Dr. Shannon was a great provider during my last pregnancy with twins! She answered every question I had, kept me in the loop on all the clinical decisions and options I had available, and made me feel safe and heard during all of my interactions with her and her staff. All of the staff at Women’s first always took great care of me and my babies no matter what concern I had at the time.
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Rhonda Eichenberger
20 June 2026
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They are always all so nice and welcoming. I just love Brook McAfee, APRN, she is awesome!
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Robin
12 June 2026
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Dr Grider is the best Doctor. Very thorough, kind and personable!
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Cathy Carter
4 June 2026
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I cannot tell you how pleased I am with the services provided by Dr. Anne L. Oliphant and the staff at Women First of Louisville. Dr. Oliphant and staff exhibit outstanding professionalism, punctuality and courtesy. I highly recommend Dr. Oliphant based on the fact that she is an exceptionally skilled and compassionate physician who truly takes the time to listen to her patients. Throughout my appointments, she and the staff made me feel completely at ease. She thoroughly explained my diagnosis and patiently answered all my questions without ever making me feel rushed. I had to do bloodwork during my last appointment. The clinicians and staff were especially friendly and professional as well. Dr. Oliphant’s, and the staff’s, empathetic bedside manner and clear communication elicit standout medical providers in the specialized field of menopause medicine. I believe that Dr. Oliphant has really listened to my concerns and has taken the time to support my health journey. I highly recommend her and the staff to anyone seeking personalized and highly effective care.
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Nancy Nance
3 June 2026
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I have been a patient here for over 25 years. The best of care for any need I have had ! Simply the best !