Evaluation for Urinary Incontinence & Retention

• What is the first step in evaluating urinary incontinence and retention?

  Focused history and physical assessment
• What should be assessed during the evaluation of urinary incontinence?

  Onset, provoking factors, and associated conditions
• What aspects are included in the physical examination for urinary issues?

  General health, mobility, dexterity, cognitive function
• What is inspected during a pelvic examination for urinary incontinence?

  Perineal skin and pelvic muscle strength
• What is the purpose of a urinalysis in urinary incontinence evaluation?

  Identify contributing factors like infection or diabetes
• What does postvoid residual volume measure?

  Urine volume remaining after urination
• How can postvoid residual volume be measured?

  Using a bladder scan or intermittent catheterization
• What are the key components of the evaluation process for urinary incontinence and retention?

  • Focused history
  • Physical assessment
  • Bladder log or voiding record
  • Assessment of onset, provoking factors, and associated conditions
  • Physical examination: general health, mobility, dexterity, cognitive function
  • Pelvic examination: inspect perineal skin, evaluate pelvic muscle strength
  • Diagnostic tests: urinalysis and postvoid residual volume measurement