You have made the decision to visit your doctor to discuss your bladder weakness. You may be wondering what is in store for you during your visit. Knowledge is power, and knowing what to expect will decrease your anxiety and allow you to get the most out of your visit.
First of all, you can expect your doctor to question you extensively regarding episodes of bladder weakness, including when they occur, how often they occur, anything you have noticed that makes your bladder weakness worse or better, and when your bladder weakness started. You may also expect questions regarding the amount of fluids you consume (including caffeinated and alcoholic beverages), medications you are taking, your health history, any surgeries you have had, and whether you have any abnormal urinary symptoms such as blood in your urine.
It may be very helpful to keep a bladder (voiding) diary for at least a week before your appointment. Keeping a voiding diary will enable you to collect a lot of meaningful information to take with you to your appointment, such as when and how much you drink, and when you are most likely to experience bladder weakness. This information can help your doctor pinpoint with more accuaracy which type of incontinence you have.
In addition to asking a lot of questions, your doctor may examine you. For women, this may include a vaginal exam to check for muscle tone, as well as checking sensation of the perineum. This is done simply by asking if you can feel pressure in the area when it is touched. For men, a prostate exam may be part of the examination, in order to determine whether the prostate is enlarged. Palpation of the abdomen may be performed to ensure that there is no abnormal enlargement of the organs.
A urinalyisis (UA) may be done to check for infection of the urinary tract. Other tests, such as an ultrasound or other specialized test, may be ordered depending on your personal circumstances, your history and your doctor’s findings. These tests may help your doctor decide on the best treatment for you.
