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Diagnosis of overactive bladder syndrome and stress urinary incontinence 

Diagnosis of overactive bladder syndrome and stress urinary incontinence
Chapter:
Diagnosis of overactive bladder syndrome and stress urinary incontinence
Author(s):

Alexander Gomelsky

and Roger R. Dmochowski

DOI:
10.1093/med/9780199599394.003.0004
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date: 23 May 2019

A comprehensive history and physical examination is the keystone of diagnosing urinary incontinence and lower urinary tract symptoms.

Urinalysis should be considered an extension of the physical examination and should be performed in every patient.

Non-invasive uroflow may provide valuable information regarding the voiding phase; however, this study is insufficient to diagnose bladder outlet obstruction.

Filling cystometry with valsalva leak point pressure determination may help guide therapeutic decisions in patients with stress urinary incontinence.

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