Description
An involuntary loss of urine that occurs with coughing, sneezing, laughing, or exercise. The amount of urine that leaks is usually small (not the whole bladder contents). The most common causes are previous childbirth, older age, and previous pelvic or abdominal surgery.
Symptoms
Involuntary loss of urine, wetting of underwear. It may occur with: coughing, sneezing, standing, exercising, or physical activity.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical exam will be performed. Tests to measure bladder function may be performed.
Tests:
CT Scan, Urinalysis (UA), Ultrasound
Other Specific Tests: Urinary stress test, post void residual urine, urodynamic studies, contrast studies of the bladder
Specialists:
Internal Medicine, Urology, Family Practice
Workup:
A history and physical exam will be performed. Tests to measure bladder function may be performed.
Tests:
CT Scan, Urinalysis (UA), Ultrasound
Other Specific Tests: Urinary stress test, post void residual urine, urodynamic studies, contrast studies of the bladder
Specialists:
Internal Medicine, Urology, Family Practice
Treatment
Therapy depends on the severity of symptoms and how disturbing the symptoms are to the patient. Treatment may include: pelvic floor muscle training (Kegel exercises), behavioral changes, medication, and/or surgery.