IAC (028) 35 11 33 33 Emergency (028) 35 11 35 00 Urology & Andrology Urodynamic clinic IAC (028) 35 11 33 33 Emergency (028) 35 11 35 00 Urology & Andrology Urodynamic clinic Led by a leading French-trained urodynamics specialist – Dr Nguyen Van Nhan, PhDn Understanding Urinary Incontinence & Related Disorders Stress Incontinence Symptoms: Leakage of urine when pressure is placed on the bladder, such as during coughing, sneezing, laughing, exercising, or lifting heavy objects. Causes: Most commonly due to weakened pelvic floor muscles after childbirth (in women) or following prostate surgery (in men). The urethral sphincter can no longer maintain a tight seal when abdominal pressure increases. Urge Incontinence Symptoms: A sudden, intense urge to urinate that is difficult to control, often resulting in leakage before reaching the toilet. This is usually accompanied by frequent urination during the day and night. Causes: Caused by involuntary bladder contractions (Overactive Bladder – OAB). It may be associated with urinary tract infections, neurological conditions, or diabetes. Mixed & Overflow Incontinence Mixed incontinence: A combination of stress and urge urinary incontinence. Overflow incontinence: The bladder does not empty completely, leading to continuous urine leakage. This is commonly seen in men with enlarged prostate causing urinary obstruction. Urodynamics – The Gold Standard for Diagnosis What is urodynamic testing and why is it necessary? Urodynamic testing is a group of functional investigations used to assess how the bladder and urethra store and release urine. It is often described as the “electrocardiogram” of the lower urinary tract. Why is it important? Urinary incontinence has multiple underlying causes. Relying solely on symptoms is not sufficient. Urodynamic studies allow doctors to accurately identify the root cause whether it is bladder muscle weakness, obstruction, or neurological dysfunction so that the most appropriate treatment can be selected from the outset, avoiding unnecessary surgery. How is the test performed? The procedure usually takes 30–45 minutes and is generally painless. Uroflowmetry: You will urinate into a specialised device that measures urine flow rate and volume. Cystometry: A thin catheter is gently inserted into the bladder to slowly fill it with sterile saline. The system records bladder pressure and your sensations as the bladder fills. Urethral pressure measurement: Assesses the ability of the urethral sphincter to retain urine. Tổn thương cơ quan lân cận: Rất hiếm gặp. Treatment Pathways at FV Pelvic Floor Physiotherapy A first-line, non-invasive approach, particularly effective for mild to moderate stress urinary incontinence. Kegel exercises: Precise guidance to strengthen pelvic floor muscles. Biofeedback and electrical stimulation: Supportive devices that help patients identify and control the correct muscle groups. Mid-Urethral Sling Surgery (TOT / TVT) Considered the gold standard treatment for stress urinary incontinence in women when conservative measures are ineffective. How it works A small synthetic sling is placed under the urethra like a “hammock”, providing support and helping the urethra close effectively during increases in abdominal pressure. Advantages at FV Surgical time: 15–20 minutes Minimal pain, no visible scarring Same-day discharge (Day Surgery) Immediate effectiveness in over 90% of cases Table of Content Understanding Urinary Incontinence & Related Disorders Urodynamics – The Gold Standard for Diagnosis Treatment Pathways at FV Dr. Nguyen Van Nhan, PhD One of the few specialists in Vietnam formally and extensively trained in Advanced Urodynamics in France. Consult our expert
