PMID: 18214136Jan 25, 2008Paper

Recommendations for the clinical evaluation of non-neurological female urinary incontinence

Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie
Ariane CortesseComité d'Urologie et de Pelvi-périnéologie de la Femme Association Franņaise d'Urologie

Abstract

The diagnosis of female urinary incontinence is clinical. CLINICAL INTERVIEW: It must be precise and guided. It allows subjective assessment of the patient's history, triggering factors, volume of urine leakage. It is recommended to classify the type of urinary incontinence: stress. urge or mixed urinary incontinence. Other voiding disorders must be noted: dysuria, frequency, pain. These disorders can be recorded on a voiding diary kept for at least 2 days. which is recommended in the investigation of female urinary incontinence. The clinical interview also looks for any associated anorectal disorders (anal incontinence and altered bowel habit). The full bladder examination and the cough test to confirm urine leakage and correction of the leakage by bladder neck support (Bonney test) and urethral support are recommended in the investigation of female urinary incontinence, The Q-tip test is not recommended to measure urethral hypermobility. A pad-test is not recommended in the evaluation of documented stress incontinence, but is recommended to confirm urinary incontinence not diagnosed clinically or in clinical trials evaluating a treatment for urinary incontinence. A Valsalva manoeuvre to detect associated prolapse and perineal...Continue Reading

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