N39.3
DESCRIPTION
Incontinence that occurs with increased abdominal pressure (e.g. cough, sneeze or laugh) in the absence of a bladder contraction.
GENERAL MEASURES
Exclude urinary tract infection or diabetes.
Pelvic examination to exclude pelvic masses, pelvic organ prolapse or menopausal vaginal atrophy.
Stop smoking.
Manage obesity.
Reduce or avoid caffeine.
Reduce alcohol intake
Manage constipation and avoid excessive fluid intake.
Keep a bladder diary.
Pelvic floor exercises (see Overactive bladder).
MEDICINE TREATMENT
There are no pharmacological interventions to manage stress incontinence.
REFERRAL
- If any pelvic pathology, immediate referral to specialist
- If no underlying pathology, refer for bladder stress testing if no improvement with conservative measures after 3-6 months.