Some doctors require the urodyanimcs test. I think it helps them determine whether you might need a sling inserted to support the bladder. In my case, it was decided that I didn't need it. The test is not painful, just something to get over with. It had been set up by another doctor, not the one I had the surgery with. My doctor, a urogynecologist, said that he allows his patients to skip the urodynamics in some cases. I decided to have the total hysterectomy because I thought the success rate was higher with it and also because, if I ever had bleeding from the uterus, I thought they would not be able to do an ultrasound after colpocleisis. I didn't have any unusual bleeding or pain from the surgery. I like the doctor, and my son thought well of him too.