Evaluation and Diagnosis in Urinary Incontinence
Chapter from the book:
Bilgili,
A.
(ed.)
2024.
Academic Research and Evaluations in Health Sciences II.
Synopsis
Urogynecological problems are difficult to detect because they have a multifactorial etiology and individuals consider these problems as a natural consequence of aging. Urinary Incontinence (UI) is defined as the complaint of involuntary loss of urine. UI significantly limits the quality of life of individuals. Individuals with UI are more depressed, psychologically stressed, socially isolated and experience emotional disturbances. In addition, the economic burden of UI has a significant impact on society. Accurate diagnosis is important for the evaluation of the effects of UI on the quality of life of individuals with UI and for the planning of treatment. The evaluation starts by taking a detailed anamnesis. In addition, other medical conditions and symptoms of individuals with UI are also evaluated. Detailed physical examination is also included for evaluation and diagnosis. Following the physical examination, laboratory tests are performed and basic-advanced urogynaecological tests are performed. However, advanced imaging methods are sometimes required for definitive diagnosis. Recent advances in technology provide clarity in the assessment of pelvic anatomy. These advances not only improve preoperative planning, but also contribute to more accurate diagnoses. As a result of the diagnosis, appropriate treatment method options should be evaluated and applied. The treatment plan should take into account the type, grade, symptoms and defects of UI. The aim of this chapter is to bring together the evaluation and diagnosis methods in individuals with urinary incontinence in the light of the literature.