Diagnostic evaluation of urinary incontinence

J. G. Blaivas

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Diagnostic evaluation of urinary incontinence commences with a thorough history, physical examination, and routine laboratory studies including urinalysis, urine culture, and renal function tests. Positive urine cultures should be treated with culture-specific antibiotics; however, patients with persistent bacteriuria or recurrent infections may require invasive testing while on antibiotics. Hematuria should be evaluated by urinary cytology, intravenous pyelography, and cystourethroscopy. The different urodynamic techniques are thoroughly evaluated, including ''eyeball'' techniques and more sophisticated laboratory procedures such as cystometry, cystogram and voiding cystourethrogram, and urethral pressure profilometry. Urinary flow rate measurement and sphincter electromyography are described, and synchronous multichannel urodynamic studies are presented in terms of indications for use and technique.

Original languageEnglish
Pages (from-to)11-20
Number of pages10
JournalUrology
Volume36
Issue number4 SUPPL.
StatePublished - 1990
Externally publishedYes

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