Urogynaecological examination: female urinary incontinence (examination and consultation)

Urogynaecological examination: female urinary incontinence (examination and consultation)

The urogynaecological examination is an essential part of the diagnosis of urinary incontinence in women. It is also used to diagnose prolapse of the reproductive organs.

What does the urogynaecological examination involve?

The visit includes an examination and consultation with a urologist. The aim of the examination is to determine the cause and type of incontinence, so that the correct diagnosis can be made and treatment planned. The examination includes:

• bladder ultrasound - to assess bladder capacity before micturition and urinary retention after emptying;
• gynaecological examination - to assess the condition of the organs and the position of the pelvic organs;
• coughing test - it is carried out in a patient with a moderately full bladder;
• ultrasound of the perineum (transperineal or transvaginal ultrasound of the perineum using transvaginal probes) to accurately assess the condition and function of the urethra at rest and during pelvic floor stress.

A detailed medical history is also taken during the consultation. This is used to determine the nature of the symptoms, their severity and their impact on the patient's quality of life. A treatment plan is also discussed.

What are the indications for a urogynaecological examination?

Indications for urogynaecological examination include e.g.: urinary incontinence, urine retention after micturition, recurring urinary tract infections.

Is there any special preparation required for the examination?

The patient has to arrive to the examination with a full bladder. Please prepare as you would for any gynaecological examination; make sure to come on days when you are not menstruating. Before the examination (1-2 hours), please drink 1-1.5 litres of still water, and do not urinate. The amount of fluid you need to drink to fill your bladder depends on a variety of factors. 

The service is aimed at patients with urinary incontinence aged 18 years and over (no upper age limit). Duration of visit: 30 minutes Duration of visit at Medicover Hospital: 20 minutes