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Urogenital & Bowel C.O.R.E. »

Comprehensive Care

  • The Urogenital and Bowel Core provides the necessary diagnostic resources to serve as a comprehensive center for individuals with paralysis and symptoms related to bladder, bowel and sexual dysfunction. Our program provides high-quality assessments for these essential areas of systemic function that are profoundly affected by spinal cord injuries. With our collaborative team approach and experts in neurourology, gastroenterology, neurosurgery, and rehabilitative services, we aim to provide the optimal clinical care for our research participants.
Objective Outcomes

  • Using our core laboratory equipment, we are able to obtain objective measurements of urogenital and bowel functions that are essential in helping us better understand and improve dysfunction in these areas.

Procedures for Assessing Bladder Function

  • Bladder Diary – using a bladder diary on a regular basis allows you to document your symptoms and can provide insight on your day-to-day bladder management.
  • Uroflowmetry – is a diagnostic test used to measure the flow of urine during urination. It is generally used to monitor the pattern of urine outflow and if there is any obstruction.
  • Cystometrogram (CMG) – is a test used to assess how your bladder and abdominal muscles behave while urine is stored and while urine is passed. The test includes a measurement of bladder pressure.
  • Electromyography (EMG) – is a measurement of your muscle activity during the CMG and is used to distinguish between coordinated and uncoordinated voiding.
  • Bladder and Kidney Ultrasound (US) – an US exam is a noninvasive diagnostic technique that makes use of how sound waves travel through the body. Images of the bladder and kidneys will be captured to evaluate for any degree of damage to these tissues as a result of chronic high pressure and urinary reflux.
  • Questionnaire – a published, standardized questionnaire is used as a screening of overall bladder health and management.

Procedures for Assessing Bowel Function

  • Anorectal Manometry (ARM) – is a test that evaluates bowel function in individuals with difficulty moving the bowels and/or experiencing stool leakage. It measures the strength of the rectal and anal sphincter muscles, sensation of stooling in the rectum as well as the neural reflexes necessary for bowel function.
  • Questionnaire – a published, standardized questionnaire is used as a screening of overall bowel health and management.

Procedures for Assessing Sexual Function

  • Rigiscan – is a portable device that measures the circumferential change, rigidity, frequency and duration of erections while an individual sleeps in his own bed.
  • Strain-Gauge Plethysmography – is a device that measures changes in volume, such as with blood flow, in different areas of the body. It is also used as a vascular evaluation of erectile dysfunction by assessing the degree of arterial and venous occlusive involvement.
  • Questionnaire – a published, standardized questionnaire is used as a screening of overall sexual health and management in both males and females.

What to Expect During Testing

  • A complete history and physical exam will be performed prior to any testing.
  • Testing occurs in a private, dedicated evaluation room.
  • An experienced nurse will perform the assessments.
  • Blood pressure and heart rate will be monitored throughout any testing.
  • Any special preparations, such as stopping medication, will be communicated prior to testing.
Download our Brochures to learn more about our bladder, bowel and sexual function testing.
Download our Bladder Diary
Download our Questionnaires

Research Innovation

  • Researchers at the University of Louisville and Frazier Rehab Institute continue to advance the frontiers of science, medicine and engineering. Our program emphasizes an interdisciplinary collaboration between research faculty, clinicians, students, therapists, administrative staff, industry and academic partners, as well as facilitating a relationship within the community. As a result, we are an internationally recognized research institution that seeks to create knowledge, bring innovation and advance the scientific field of paralysis while ultimately making a positive influence in the lives of others.

Download our core-related research articles

Excellence and Expertise

  • We strive to combine excellent clinical treatment and scientific expertise in a compassionate environment. Our program is comprised of core personnel with a history of training and background expertise in spinal cord injury-related conditions and our program directors are internationally recognized for their scientific contributions.

 

Our Specialists:

The Urodynamics and Bowel Core is directed by Charles H. Hubscher, Ph.D. and managed by April N. Herrity, D.C., Ph.D. Our experienced research nurses, Julie Sanford, BSN, RN and Laura Farnsworth, BSN assist in administering the testing procedures.

charles-hubscher Charles Hubscher, PhD
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