8.3: Diagnosis

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History

A good history is usually the most important aspect of making a diagnosis for any condition. Until recently, however, the correlation between history, clinical findings and special investigations has shown poor correlation in women and been more extensively and better defined in men.

The following urinary symptoms are however important in making the diagnosis of suspected voiding abnormalities. Be aware however that different studies have linked these symptoms differently to confirmed voiding disorders.

Hesitancy
Straining to void
Feeling of incomplete emptying
Terminal dribble
Post micturition dribble
Splitting and spraying of urine
Changing position to void

The above urinary symptoms may also be associated with overactive bladder symptoms and incontinence.

Further important questions in the history would be careful questioning about the usage of medications, recent pelvic or abdominal surgery, neurological symptoms and symptoms of uterovaginal prolapse.