urinary%20incontinence%20in%20women
URINARY INCONTINENCE IN WOMEN
Treatment Guideline Chart
Urinary incontinence is the complaint of involuntary urine leakage.
Stress urinary incontinence is the involuntary urine leakage on effort or exertion or when coughing or sneezing.
Urge urinary incontinence is the one associated with or immediately preceded by urgency.
Mixed urinary incontinence is the involuntary urine leakage associated with both urgency and with exertion, effort, coughing or sneezing.

Urinary%20incontinence%20in%20women Management

Specialist Referral

  • Consider immediate referral to a specialist in the following conditions:
    • Incontinence with abdominal and/or pelvic pain
    • Hematuria in the absence of an infection
    • Suspected fistula
    • Complex neurological conditions (eg Parkinson’s disease, spinal cord injury)
    • Abnormal findings (eg pelvic mass or symptomatic organ prolapse beyond the hymen, palpable bladder after voiding on abdominal or bimanual exam)
  • Consider elective referral to a specialist in the following conditions:
    • Persistent symptoms after an adequate therapeutic trial
    • Uncertain diagnosis and lack of reasonable treatment plan
    • Significant increase in PVRV that does not resolve after treatment of possible precipitants (eg medications, stool impaction)
    • Prior pelvic surgery or pelvic irradiation
    • Desire for surgical treatment
      • Concurrent surgery for stress UI and pelvic organ prolapse may be considered in women with both stress UI and anterior and/or apical prolapse 
Editor's Recommendations