Urinary Incontinence Follow Up

Monitoring

Specialist Referral  

Immediate specialist referral should be considered in the following conditions:

• Incontinence with abdominal and/or pelvic pain
• Hematuria in the absence of an infection
• Suspected fistula
• Complex neurological conditions (eg Parkinson’s disease, spinal cord injury)
• Abnormal findings (eg pelvic mass or symptomatic organ prolapse beyond the hymen, palpable bladder after voiding on abdominal or bimanual exam)

Elective referral to a specialist should be considered in the following conditions:

• Persistent symptoms after an adequate therapeutic trial
• Uncertain diagnosis and lack of reasonable treatment plan
• Significant increase in PVRV that does not resolve after treatment of possible precipitants (eg medications, stool impaction)
• Prior pelvic surgery or pelvic irradiation
• Desire for surgical treatment
• Concurrent surgery for stress UI and pelvic organ prolapse may be considered in women with both stress UI and anterior and/or apical prolapse