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Urine dipstick screening to detect the presence of blood, glucose, protein, leucocytes and nitrites in the urine.
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Vaginal examination to identify evidence of pelvic organ prolapse or pelvic mass. May also include pelvic floor muscle assessment, if within your scope of practice.
Urinary Stress Incontinence
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Urinary incontinence (UI) is a symptom that can affect women of all ages, with a wide range of severity and impact on quality of life. It is common but not normal.
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Stress urinary incontinence is defined as involuntary leakage of urine on effort or physical exertion (e.g. sporting activities) or on sneezing or coughing.
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Stress incontinence is often related to weakness of, or damage to, the pelvic floor muscles although women with a strong active contraction of these muscles could also have symptoms if they’re not using them correctly.
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Risk factors include vaginal (particularly forceps) delivery, increased parity, older age, obesity, and family history
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There are many barriers to seeking advice/treatment for symptoms of UI. We also know that many women are not able to contract their pelvic floor muscles effectively, so if a woman reports symptoms please refer for further assessment.
Main presenting feature:
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Leakage of urine on effort or exertion or on sneezing or coughing.
