Good transmission, no stress incontinence 2. 50 Evaluation includes history, exam excluding large postvoid residuals, and hypermobility of the bladder neck. Because symptoms may be confusing or mixed, further urodynamic testing may be needed. Clinically, patients experience urgency, frequency, nocturia, and nocturnal enuresis. Common antecedents are listening to running water, or arriving home and unlocking the door.
Evaluation is as above, but looking for neurologic abnormalities.
A bladder diary may show excess fluid output, small voided volumes, etc. Treatment of urge incontinence is NOT surgical. Patients are offered bladder retraining, a timed-void behavior modification. It is often a symptomatic and should be followed clinically. Uterine enlargement should be noted, and the adnexa may need to be evaluated with ultrasound because the size of the uterus limits palpation of other structures.