An accurate diagnosis is the first step toward effective treatment and a cure for incontinence. The physicians in the UAB Division of Women's Pelvic Medicine and Reconstructive Surgery at the UAB Continence Center specialize in caring for women with these problems.
Your physician will first ask about symptoms and medical history. Your pattern of urination or bowel movements and leakage may suggest the type of incontinence. Other obvious factors that can help define the problem include straining and discomfort, use of medications, recent surgery, and illness. If your medical history does not define the problem, it will at least suggest which tests are needed. You may be asked to keep a diary to record the times you drink fluids and the amount, and when you use the toilet (including the amount). You will also record the times and activities associated with incontinence episodes.
Your physician will physically examine you for signs of medical conditions causing incontinence, such as tumors that block the urinary tract, fecal impaction, and poor reflexes or sensations, which may be evidence of a nerve-related cause. A pelvic examination provides information on the location and degree of prolapse of pelvic organs.