[Clinical diagnosis and evaluation of female urinary incontinence].
OBJECTIVE
To establish recommendations on relevant methods for diagnosis and evaluation of female urinary incontinence (UI).


METHODS
A literature review on Medline referenced papers between 1980 and 2009 was performed. Furthermore, the present recommendations derived form these of the SIFUD-PP published in 2001 and of the IUGA published in 2008.


RESULTS
Patient interview allow to evocate the diagnosis of UI and to precise the type. The cough stress test is simple, reliable and reproducible for the diagnosis of stress urinary incontinence (SUI). An angle > 30 degrees during the Q-Tip test define uretral hypermobility. The voiding diary is a simple, non-invasive and cost-effective method which has to be proposed before urodynamics. The pad test allows an objective evaluation of UI severity. The use of at least one validated questionnaire for symptoms and quality of life is recommended.


CONCLUSIONS
Clinical diagnosis and evaluation of female urinary incontinence is based on patient interview, cough stress test, clinical evaluation of uretral mobility (Q-Tip test), voiding diary, pad test and validated questionnaires for symptoms and quality of life.
Service de gynécologie-obstétrique, CHU Carémeau, place du Professeur Debré, 30900 Nîmes, France. renaud.detayrac@chu-nimes.fr
R
R
de Tayrac
V
V
Letouzey
G
G
Triopon
L
L
Wagner
P
P
Costa
D005260:Female; D006801:Humans; D017410:Practice Guidelines as Topic; D011788:Quality of Life; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D014549:Urinary Incontinence / Q000175:diagnosis*