To learn the cause of your
urinary incontinence, your doctor will first review your medical history and give you a physical exam. Along with routine testing, such
as a urinalysis, this may be all your doctor needs to diagnose the cause and start treatment.
doctor may ask you to keep a
voiding log. This is a record of the amount of
liquids you drink and how much and how often you urinate.
that may be done to find the type and cause of your urinary incontinence
- Urinalysis and
urine culture. These tests show whether you have a
urinary tract infection (UTI) or
prostatitis, or blood or
sugar in your urine.
- Cough test. It checks for urine leakage while
- Urodynamic tests, which may include:
This test measures your rate of urine flow. A low
peak flow rate can be a sign of a blockage or a weak bladder.
- Pressure flow studies. This testing measures pressure changes in the bladder as the flow changes. It is often used when
the cause of a man's symptoms is uncertain. It can help show if the cause may be a blockage or a problem with the bladder muscles or nerves.
- Post-void residual volume. This test
measures the amount of urine left after you empty your bladder.
- Cystometrogram (CMG). This test measures how well your
bladder can store and release urine.
- Electromyogram (EMG). This test records the
electrical activity of muscles.
Your doctor may do a cystoscopic exam. This is a test that
allows your doctor to see inside the urinary tract.
You may need more tests if:
- The first treatment
for incontinence has failed.
- You have had
previous prostate surgery,
radiation therapy, or frequent
urinary tract infections.
catheter cannot be easily placed into your
Some tests aren't often used for
incontinence, but they may be helpful. One example is cystourethrogram. It's an X-ray of your
bladder and urethra while you are urinating.
If your doctor wants to do more tests, ask how the test can help your doctor treat your