[Recommendations for endoscopic, laboratory and electrophysiological examinations in the investigation of non-neurological female urinary incontinence].
CYSTOURETHROSCOPY: Cystourethroscopy is not recommended in the initial work-up of urinary incontinence except in the following circumstances: Microscopic or macroscopic haematuria requiring screening for an associated tumour especially in the presence of risk factors for urothelial tumour (smoking, occupational exposure). Signs of bladder irritation in the absence of urinary tract infection. Unexplained bladder or pelvic pain. Recurrent urinary tract infections. Discordance between clinical features and urodynamic assessment, which fails to reproduce the symptoms described by the patient. Work-up of a failure, recurrence or complication of urinary incontinence surgery. Suspected urogenital fistula. TEST FOR STERILE URINE: A test for sterile urine is recommended in the following situations: Woman with urge or mixed urinary incontinence. Elderly woman who regularly uses pads for urinary incontinence, regardless of the type of urinary incontinence. Before performing a urodynamic assessment or cystoscopy. This test can be performed by urine dipsticks or urine culture. URINE CYTOLOGY: Is not recommended in the assessment of pure urinary stress incontinence. But is recommended in the presence of signs of bladder irritation in the absence of urinary tract infection, microscopic haematuria, risk factors for bladder tumour (smoking, occupational exposure). And must be performed on concentrated urine by a urocytopathologist. PERINEAL ELECTROPHYSIOLOGICAL STUDIES: Perineal electrophysiological studies are not recommended in the investigation of non-neurological female urinary incontinence.
Monneins
François
F
Service d'Urologie, Centre Hospitalier Gonesse. francois.monneins@ch-gonesse.fr
D003558:Cystoscopy; D004576:Electromyography; D005260:Female; D006801:Humans; D018666:Ureteroscopy; D014549:Urinary Incontinence / Q000175:diagnosis*; D014563:Urodynamics; D014570:Urologic Diseases / Q000175:diagnosis