TITLE

Diagnosis of Urinary Incontinence

AUTHOR(S)
KHANDELWAL, CHRISTINE; KISTLER, CHRISTINE
PUB. DATE
April 2013
SOURCE
American Family Physician;4/15/2013, Vol. 87 Issue 8, p543
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Urinary incontinence is common, increases in prevalence with age, and affects quality of life for men and women. The initial evaluation occurs in the family physician's office and generally does not require urologic or gynecologic evaluation. The basic workup is aimed at identifying possible reversible causes. If no reversible cause is identified, then the incontinence is considered chronic. The next step is to determine the type of incontinence (urge, stress, overflow, mixed, or functional) and the urgency with which it should be treated. These determinations are made using a patient questionnaire, such as the 3 Incontinence Questions, an assessment of other medical problems that may contribute to incontinence, a discussion of the effect of symptoms on the patient's quality of life, a review of the patient's completed voiding diary, a physical examination, and, if stress incontinence is suspected, a cough stress test. Other components of the evaluation include laboratory tests and measurement of postvoid residual urine volume. If the type of urinary incontinence is still not clear, or if red flags such as hematuria, obstructive symptoms, or recurrent urinary tract infections are present, referral to a urologist or urogynecologist should be considered.
ACCESSION #
86431595

 

Related Articles

  • Urologists confident they can compete with continence centers. Nash, Karen // Urology Times;Oct97, Vol. 25 Issue 10, p44 

    Focuses on urologists' reactions to the emergence of continence specialty centers in the United States. Factors affecting urologists' views of the continence treatment centers; Some centers' refusal to include urologists in their operations; Centers' impact on urologists' practice.

  • Mixed urinary incontinence in females: definition, etiopathogenesis and diagnosis. Bălărie, Cristina E.; Bardan, R.; Bucuraş, V. C. // Romanian Journal of Urology;2014, Vol. 13 Issue 3, p5 

    Urinary incontinence is a very common condition found in everyday life, mainly in females, which affects their social, professional and personal life, having a powerful emotional impact on them. Mixed urinary incontinence, which is a combination of stress urinary incontinence and urge urinary...

  • A 50-Year-Old Man With Dysuria. Mu, Anandit; Stockamp, Nathan // Clinical Infectious Diseases;7/15/2015, Vol. 61 Issue 2, p251 

    The article presents a photo quiz on the diagnosis of a disease in a Hispanic man with dysuria and hematuria.

  • Urinary incontinence in women: have we anything new to offer? Cardozo, Linda // BMJ: British Medical Journal (International Edition);12/7/91, Vol. 303 Issue 6815, p1453 

    Examines the incidence of urinary incontinence for women in Great Britain. Influence in the quality of life; Implication of a stress incontinence; Treatment with anterior colporrhaphy.

  • Managing urinary incontinence with BioDerm external continence device. Wells, Mandy // British Journal of Nursing;5/8/2008, Vol. 17 Issue 9, pS24 

    Urinary incontinence (UI) is a common problem, experienced by both men and women, and has a significant impact on quality of life. For male patients, UI can be caused by a number of conditions, including post-prostatectomy, neurogenic problems (such as Parkinson's disease, multiple sclerosis and...

  • Non-invasive incontinence treatment now available locally. Everitt, Julie J. // Fort Worth Business Press;12/03/99, Vol. 12 Issue 32, p13 

    Reports on Fort Worth, Texas-based urologist Roger Dmochowski's offer of a non-surgical medical treatment for women suffering urinary incontinence. Installation of the Neotonus therapeutic device at the doctor's clinic in Fort Worth; Device's system of operation; Cost of therapy sessions.

  • Postprostatectomy incontinence? Here's help. Sharma, Umang // Journal of Family Practice;Dec2011, Vol. 60 Issue 12, p741 

    The article presents a study on the long-term benefits of behavioral therapy for men with urinary incontinence after radical prostatectomy. Participants of the study were allowed to continue taking incontinence medication with the exclusion of anticholinergics. The study reveals that patients...

  • Portuguese validation of the Urinary Incontinence-Specific Quality-of-Life Instrument: I-QOL. Andrea Rodrigues; Cristina Ferreira; Eliana Fonseca; Zsuzsanna di Bella; Manoel Girão; Marair Sartori; Rodrigo Castro // International Urogynecology Journal;Oct2009, Vol. 20 Issue 10, p1183 

    Abstract Introduction and hypothesis  Our objective was to translate and validate a Portuguese version of the Urinary Incontinence-Specific Quality-of-Life Instrument (I-QOL), a questionnaire that is widely used in clinical trials. Methods  Fifty patients completed the same...

  • Intensive supervised versus unsupervised pelvic floor muscle training for the treatment of stress urinary incontinence: a randomized comparative trial. Felicíssimo, Mônica Faria; Carneiro, Márcia Mendonça; Saleme, Cristina Said; Pinto, Rafael Zambelli; Maciel da Fonseca, Andrea Moura Rodrigues; da Silva-Filho, Agnaldo Lopes // International Urogynecology Journal;Jul2010, Vol. 21 Issue 7, p835 

    Pelvic floor muscle training (PFMT) is considered to be the first-line treatment for female stress urinary incontinence (SUI). There are few studies that have tested the efficacy of unsupervised PFMT. The aim of this study was to compare the effectiveness of intensive supervised PFMT to...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics