From the Guidelines
Diotria is not a recognized medical term, but it could be a misspelling of "urinary incontinence", which is a condition characterized by the involuntary loss of urine. According to the American Urological Association (AUA) and the Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction (SUFU) guideline, urinary incontinence should be evaluated with a history, physical exam, and appropriate diagnostic modalities to categorize type and severity of incontinence and degree of bother 1. This assessment should focus on characterization of incontinence, severity, progression or resolution over time, and degree of bother.
Key Points to Consider
- Taking a history and performing a physical examination should be the first step in the assessment of anyone with urinary incontinence
- Patients should be questioned on which activities cause incontinence to help differentiate between stress urinary incontinence (SUI) and urgency incontinence
- Further testing such as urodynamics or pad testing may be chosen if the clinician cannot definitively confirm the nature of the incontinence
Related Conditions
- Overactive bladder (OAB) is a condition characterized by urinary frequency, urgency, and urgency incontinence, which can be diagnosed based on self-reported symptoms 1
- Nocturia, or nighttime urination, can be a symptom of OAB or other conditions such as nocturnal polyuria or low nocturnal bladder capacity
- Current medications and co-morbid conditions should be reviewed to ensure that symptoms are not related to these factors
Next Steps
- If you are experiencing symptoms of urinary incontinence, it is essential to consult a healthcare professional for a comprehensive evaluation and diagnosis
- A thorough history, physical examination, and diagnostic testing can help determine the underlying cause of incontinence and guide treatment
- Treatment options may include lifestyle modifications, behavioral therapies, medications, or surgical interventions, depending on the type and severity of incontinence.