Evaluation for urinary incontinence typically involves a comprehensive assessment by a healthcare provider to identify the underlying cause of the condition and determine the most appropriate treatment plan.

 

Here are the key components of a urinary incontinence evaluation:

​

The healthcare provider will begin by taking a detailed medical history, including information about the onset and duration of urinary incontinence symptoms, any triggering factors or exacerbating circumstances, previous treatments or interventions, and any relevant medical conditions or surgeries.

​

A pelvic examination may be conducted to assess for pelvic organ prolapse, vaginal atrophy, or other pelvic floor abnormalities.

​

A urinalysis may be performed to check for signs of infection (such as urinary tract infection) or other abnormalities in the urine, such as blood or protein.

​

Depending on the suspected cause of urinary incontinence, additional tests may be ordered to further evaluate bladder function, urinary tract anatomy, or pelvic floor function. These tests may include:

• Urodynamic testing to assess bladder function and urine flow rates.

• Cystoscopy to visualize the inside of the bladder and urethra using a thin, flexible scope.

• Imaging tests, such as ultrasound or MRI, to evaluate the urinary tract anatomy and identify any structural abnormalities or blockages.

• Electromyography (EMG) to evaluate the function of the pelvic floor muscles.

 

Based on the findings of the evaluation, the healthcare provider will discuss potential treatment options for urinary incontinence, which may include lifestyle modifications (such as dietary changes, pelvic floor exercises, or bladder training), medications, behavioral therapies, devices (such as vaginal pessaries), minimally invasive procedures (such as injections or slings), or surgery.