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AUA: Female SUI (2023)
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==== History ==== * '''<span style="color:#ff0000">Characterize incontinence</span>''' (stress, urgency, mixed, continuous, without sensory awareness). ** Presence of coughing, sneezing, lifting, walking, or running as initiators of incontinence increases the likelihood of SUI as the cause of urinary leakage ** '''<span style="color:#ff0000">Chronicity of symptoms</span>''' ** '''<span style="color:#ff0000">Frequency, bother, and severity</span>''' of incontinence episodes. Pad or protection use. *** '''<span style="color:#ff0000">An assessment of bother is paramount to the decision to operate in the index patient.</span>''' * '''<span style="color:#ff0000">Associated</span>''' **'''<span style="color:#ff0000">Urinary tract symptoms</span>''' (e.g., urgency, frequency, nocturia, dysuria, hematuria, slow flow, hesitancy, incomplete emptying) ** '''<span style="color:#ff0000">Pelvic symptoms</span>''' (e.g., pelvic pain, pressure, bulging, dyspareunia) **'''<span style="color:#ff0000">GI symptoms</span>''' (e.g., constipation, diarrhea, splinting to defecate) * '''<span style="color:#ff0000">Menopausal status</span>''' * '''<span style="color:#ff0000">Obstetric history</span>''' (e.g., gravity, parity, method of delivery) * '''<span style="color:#ff0000">Previous pelvic surgeries</span>''' * '''<span style="color:#ff0000">Past medical history</span>''' (e.g., hypertension, diabetes, history of pelvic radiation) * '''<span style="color:#ff0000">Current and past medications</span>''' * '''<span style="color:#ff0000">Fluid, alcohol, and caffeine intake</span>''' * '''<span style="color:#ff0000">Previous treatments for incontinence</span>''' (e.g., behavioral therapy, Kegel exercises/pelvic floor muscle training, pharmacotherapy, surgery) * '''<span style="color:#ff0000">Patient’s expectations of treatment</span>''' (patient-centered goals) * '''<span style="color:#ff0000">History alone, while helpful, does not definitively diagnose SUI in women</span>'''
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