Management of Late-Term and Postterm Pregnancies

Abstract

A basic office evaluation is the first and most important step in the assessment of urinary incontinence. Office evaluation in all women should include a thorough history, physical examination, assessment of symp-tom severity, and goals for treatment. In addition, all women with symptoms of urinary incontinence should have screening for urinary tract infection and postvoid residual urine volume to rule out retention and overflow incontinence before initiating any treatment. A simple cough stress test is useful in the initial evaluation, espe-cially in women with stress incontinence symptoms. Often, a diagnosis is made with basic office evaluation, and therapy can be initiated based on these findings. Additional specialized urodynamic studies may be nec-essary if complex conditions are present or the etiology of incontinence is unclear after a basic evaluation.