Tuesday, September 22, 2009
In the second of a three part series, Dr. Edward Hill explains the evaluation of urinary incontinence in todayís 60 Second Housecall.
Urinary incontinence is the loss of urine at unexpected times. It can be an embarrassing and life-changing problem. The evaluation of incontinence includes a thorough history and physical with special attention to:
- childbirth history in women,
- medication use, particularly over the counter medications like cold preparations and benadryl that can cause bladder obstruction,
- a complete neurological history and exam,
- a detailed analysis of the pattern of incontinence
- basic blood chemistries and a urinalysis test
- a rectal exam to check for a stool impaction
- and a measurement of the urine amount left in the bladder after emptying
If these tests do not reveal a cause for the incontinence, you may be referred to a specialist such as a urologist or gynecologist for further testing. This may include urodynamic testing where the bladder function is actually measured or cystoscopy where a lighted scope is inserted in the bladder.
For North Mississippi Medical Center, Iím Dr. Edward Hill.