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Examination

How we examine the urinary infection?

Urological examination is based on the case history, physical examination and urine sampling for chemical, microscopic and cultivation examination.

Sonography of kidneys and bladder is performed in all cases when complicated urinary infection is suspected. It reliably displays larger concretions, cysts, ectasis of the renal pelvis and calices in case of the obstructed urinary tract.

Native X-ray image of the kidneys is prescribed when contrasting concretions in the urinary tract are suspected.

Excretory urography shows the morphology of the caval system of kidneys with higher precision than sonography.

In patients with recurring infectious agents it is necessary to perform endoscopic examination of the lower urinary tract, which is done after subsiding of the acute stage and under the control of antibiotics.

Urodynamic examination serves to detect the impaired functions of the lower urinary tract. It consists of several test performed generally within one outdoor examination. The first one is uroflowmetry (urination into an improvised toilet and subsequent evaluation of the curve depicting the course of urination by a computer). Then follows filling and micturition cystometry, which consists in introduction of a thin catheter into the bladder and another catheter into the rectum. The instrument measures pressure parameters in the course of filling the bladder by a sterile fluid. The aim is to evaluate all measurable functions of the bladder and urethra during bladder filling as well as subsequently during urination