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Distinguishing Stress and Urge Incontinence - Easy Guide
Stress and urge incontinence are not diagnoses but rather symptom complexes that the patient reports to the healthcare practitioner. A diagnosis identifies the causes of urinary incontinence and is made by demonstrating objective evidence of urine loss.
Distinguishing between stress incontinence and urge incontinenece is vital because therapy particularly is based on an accurate diagnosis of the cause of incontinence.
Simple test to determine your symptoms
This is simple guide for diagnosing the type of incontinence developed by Kauppila & Kujansuu, as used by healthcare practitioners.
All that is needed is to give the indicated points to each question and total them. A score below 7 shows stress incontinence. Above 7 indicates treatment in the URGE electrostimulation mode when using stim devices such as the
Kegel8 - Results Within Weeks,
Neurotrac Pelvitone
or the
Neurotrac Incontinence,
set in the URGE programme. (PO2)
Neurotrac Incontinence,
or the
Neurotrac Pelvitone.
Question Points
Do you feel urgency before leaking?
No (0), Some (1), Strong (2)
Do you leak when lifting something heavy or in other strenuous situations?
Yes (0), Even without strenuous activity (2)
Do you leak when doing something strenuous, or seconds afterwards?
At the same time (0), seconds after (2)
What quantity of urine leaks?
A little (0), moderate amount (1), a large amount (2)
Can you interrupt urination without leaking?
Yes (1), No (2)
Do you feel pain when urinating?
No (0), Yes (2)
Do you feel strong urgency in stressful situations?
No (0), Fairly strong (1), Yes (2)
How many times per day do you urinate?
5 times (0), 6-7 times (1), 8 or more times (2)
How many times do you urinate at night?
0-1 times (0), 2-3 times (1), 4 or more (2)
Have you had medication for urinary infections?
0-1 times (0), 2 or more times (1), chronic (2)
If the total is less than 7, stress incontinence is most likely.
Most women with higher scores will respond quickly to electrostimulation with the
Kegel8 - Results Within Weeks,
Neurotrac Pelvitone
or the
Neurotrac Incontinence,
set in the URGE programme. (PO2)
Bibliographic reference of the original questionnaire Kauppila A, Alavaikko P, Kujansuu E. Detrusor instability score in the evaluation of stress urinary incontinence. Acta Obstet Gynecol Scand. 1982;61(2):137-41
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