A thorough evaluation is necessary to determine the proper therapy for each patient. An initial evaluation typically includes some or all of the following:

• A questionnaire that explores the patient’s medical history, the severity of her incontinence and her coping strategies. A voiding diary also is helpful.

• A physical examination to determine if a patient’s bladder, uterus or rectum has fallen out of place due to weakened supporting muscles. This condition is called “prolapse” and often goes hand-in-hand with incontinence.

• A urine analysis to look for infection.

• A “uroflow” test to evaluate the quality of the patient’s urine stream.

• An ultrasound examination of the lower abdomen to detect whether the bladder drains completely.

• Other tests may be conducted to show whether the urethra is out of place or if the muscles of the urethral sphincter close as they should.

• If questions still remain, the patient may require X-ray or urodynamic studies. The latter is conducted during activities that promote incontinence - such as jumping or coughing - and helps diagnose problems with storing urine or voiding.

These questions and test results help patients and their UT Southwestern physicians as they discuss the many treatment options and decide on a course of action. 

For more information about the Department of Urology, contact:
Phone: 214-648-4765, FAX: 214-648-4789
Mailing Address:  5323 Harry Hines Blvd., J8.148, Dallas, TX  75390-9110