Advance Women's Health Institute Michael L. Moore, M.D. 425 S Cherry St Suite 907 Denver, CO 80246 USA Office: 303.321.2255 Toll Free: 1.800.577.4295 Fax: 303.321.0856		View a Topic: __________________________________ Abnormal Uterine Bleeding Fibroid Tumors Endometriosis Chronic Pelvic Pain Pelvic Prolapse Urinary Incontinence Infertility Hormone Replacement Therapy How is urinary incontinence diagnosed? How many women have urinary incontinence? How is urinary incontinence diagnosed? There are several steps involved in diagnosing urinary incontinence, these include: History - Diabetes, thyroid, MS, stroke, back pain or injuries, surgery, vaginal deliveries and drug history Voiding diary - Time of voids, fluid intake, urgency prior to voiding, frequency of voiding, frequency of incontinence, activity precipitating incontinence Physical examination - Neurologic exam, lower extremity exam, pelvic exam and urine culture Stress test - Coughing, valsalva maneuver (forcible pushing) and standing Urodynamics - Urethral, bladder related, intraabdominal catheters measure pressures and electromyographic activity of pelvic musculature (recording the ability of the pelvic muscles to contract) These tests help the physician determine the extent of the prolapse. Cystourethroscopy (viewing the bladder and urethra through a small scope) - To rule out problems related to the bladder, such as: fistulae (abnormal passage problems), diverticula (abnormal herniated pouch), tumors, foreign bodies or nonfunctioning ureters. This is performed in the office with minimal discomfort. Return to top How many women have urinary incontinence? 10-25% of women under 65 15-30% of noninstitutionalized women over 65 50% of nursing home residents Return to top Welcome l Minimally Invasive Surgery l Services & Care l Clinical Trials Insurance and Terms l Home l Contact Us Copyright © 2001-2003 Advanced Women's Health Institute, Inc. All rights reserved.