The Basic Evaluation of Urinary Incontinence. Educational Objectives. After this presentation, the participant should be able to perform an initial evaluation of a woman with urinary incontinence.
A. Urethral Hyper mobility
B. Intrinsic Sphincteric Deficiency
Adapted from: Weidner AC, et al. Am J Obstet Gynecol. 2001;184(2):20-27.
2. Intrinsic Sphincter Deficiency-- Sling
The real question:
Do I understand the patient’s problem well enough to formulate a reasonable treatment plan?
* output greater than 4,000 cc/24 hours
* more than 8 voids per day or 2 per night
(Wyman, Obstet Gynecol,1998)
*Leakage: 0=no leakage; 1=drops; 2=wet underwear or light pad; 3=soaked pad or clothing.
Severe Pelvic Organ Prolapse
Large Pelvic mass
Markedly decreased muscle strength
Any neurological abnormalities should receive further evaluation
(Tapp, Ob Gyn, Jan 2005)
( International Continence Society,2003)
(Most consider a negative stress test an indication for further testing)
Any leakage is considered a positive test