Get answers to your Urinary Incontinence / Urogynecology questions.
Incontinence - stress
The main symptom of stress incontinence is involuntary loss of urine. It may occur when:
The health care provider will perform a physical exam, including a:
In some women, a pelvic examination may reveal that the bladder or urethra is bulging into the vaginal space.
Tests may include:
The health care provider may also measure the change in the angle of the urethra when at rest and when straining (Q-tip test). An angle change of greater than 30 degrees often means there is significant weakness of the muscles and tissues that support the bladder.
Gerber GS, Brendler CB. Evaluation of the urologic patient: History, physical examination, and urinalysis. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Sauders Elsevier; 2007: chap 3.
Holroyd-Leduc JM, Tannenbaum C, Thorpe KE, Straus SE. What type of urinary incontinence does this woman have? JAMA. 2008; 299:1446-1456.
Rogers RG. Clinical practice. Urinary stress incontinence in women. N Engl J Med. 2008; 358:1029-1036.
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