I found myself having to stand, legs spread, and urinate onto disposable diapers on the floor in front of a strange doctor and nurse. Believe me, I'm a strong woman, but this was almost more embarrassment than I could take. If only I had known ahead of time what to expect, I could have prepared myself mentally. Primary care physicians and family practitioners can ease the situation by explaining what happens during urologic studies and using familiar terms like bladder control as opposed to urinary incontinence before the patient is referred. Women who have experienced USI suggest seeking a female physician for this intimate examination.
Women find it hard to listen and comprehend when they are partially exposed.
The fifth barrier is lack of patient knowledge regarding preventive care. Patients need to be approached proactively about this topic at appropriate life milestones. Discussions about prevention may avert problems later in life. Women should begin Kegel exercises before childbirth and midlife to help prevent problems. Forewarn young mothers and menopausal women that they may temporarily lose bladder control.