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1.2: 1.2:Other Relevant Parts of the History

  • Page ID
    15561
  • Neurological history

    Women should be questioned regarding symptoms of limb weakness and sensory fallout. Any history of multiple sclerosis, parkinsonism, spinal cord injury, stroke or spina bifida should also be recorded.

    Medications

    A note should be made of medications that may be worsening the symptoms, including diuretics and alpha –blockers.

    Medical History

    Diabetes Mellitis and Insipidus are usually associated with polyuria. Cardiac failure can present with nocturia as a result of the redistribution of fluid when the patient is lying down.

    Fluid Intake

    The amount and type of fluid consumed on a daily basis should be recorded. Caffeine and alcohol can exacerbate symptoms of overactive bladder significantly and these products in particular should be enquired about.

    Obstetric History

    The number and type of deliveries are important as well as any history of perineal or anal sphincter injury.

    Surgical History

    Previous pelvic surgery, including prolapse and incontinence surgery, should be noted.

    Causes of Incontinence

    Table \(\PageIndex{1.2.1}\): Causes of Incontinence

    1.

    Stress Incontinence

    Sphincter Dysfunction

    Abnormal Bladder neck support

    2.

    Detrusor Overactivity

    Idiopathic

    Neurogenic

    3.

    Mixed incontinence

    4.

    Overflow Incontinence

    5.

    Functional Incontinence

    Confusion

    Dementia

    6.

    Pharmacologic

    7.

    True incontinence

    Fistulae

    8.

    Transient Incontinence

    UTI

    Restricted Mobility

    Constipation

    Atrophic Urethritis

    9.

    Congenital Abnormalities

    I0.

    Excessive urine production

    Diabetes Mellitis and Insipidus

    Diuretics

    Cardiac failure

    Adapted from Textbook of Female Urology and Urogynaecology Eds Cardozo and Staskin.

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