Table 3. Criteria for further evaluation[a]

  • Uncertain diagnosis and inability to develop a reasonable management plan based on the basic diagnostic evaluation. Uncertainty in diagnosis may occur when there is lack of correlation between symptoms and clinical findings.
  • Failure to respond to the patient's satisfaction to an adequate therapeutic trial, and the patient is interested in pursuing further therapy.
  • Consideration of surgical intervention, particularly if previous surgery failed or the patient is a high surgical risk.
  • Hematuria without infection.
  • The presence of other comorbid conditions, such as:
    • incontinence associated with recurrent symptomatic UTI
    • persistent symptoms of difficult bladder emptying
    • history of previous anti-incontinence surgery or radical pelvic surgery
    • beyond hymen and symptomatic pelvic prolapse
    • prostate nodule, asymmetry, or other suspicion of prostate cancer
    • abnormal PVR urine
    • neurologic condition, such as multiple sclerosis and spinal cord lesions or injury.

From: 2a, Managing Acute and Chronic Urinary Incontinence

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