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AUA: Incontinence after Prostate Therapy (2019)
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=== Recommended === *'''<span style="color:#ff0000">History and Physical Exam</span>''' ** '''<span style="color:#ff0000">History</span>''' *** '''<span style="color:#ff0000">Characterize incontinence</span>''' ****'''<span style="color:#ff0000">Type of incontinence</span>''' *****Treatment for SUI (caused by sphincteric insufficiency) vs. urgency incontinence (caused by bladder dysfunction) are different. ****** '''In cases of mixed incontinence, determine which component is more prevalent and bothersome''' (stress or activity related versus urgency related) ******* Increases in abdominal pressure such as that caused by straining, walking, cough, and exercise are suggestive of SUI ******* The sudden compelling desire to void that is difficult to defer and results in leakage indicates urgency incontinence. ******* Presence of incontinence while asleep as well as nocturia are also important to note, because this may indicate urgency urinary incontinence or severe SUI. ****'''Progression or resolution of incontinence over time, exacerbating factors''' ****'''<span style="color:#ff0000">Severity of incontinence</span>''' (i.e. volume lost over time) *****'''Can be determined by history, or more objectively, by pad testing''' ***** In the case of sphincteric insufficiency, some treatments (e.g., male slings), clearly have inferior results in severe incontinence. ****'''<span style="color:#ff0000">Degree of bother</span>''' *'''<span style="color:#ff0000">Labs</span>''' **'''<span style="color:#ff0000">Urinalysis +/- culture</span>'''
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