Your first appointment is an opportunity to meet your provider team (which may include physicians, a nurse practitioner, fellows and residents), discuss your medical history and learn more about treatment options, and participate in tests to help us with your diagnosis.
Your First Visit
While every patient is unique, there are several standard assessments and tests that are performed on the day of your first visit. Depending on your symptoms, these may include:
- Standing “stress test” with a full bladder to look for leakage
- Urinary flow study
- Urine analysis and urine culture
- Pelvic exam
- Post-void residual measurement by urethral catheterization
We will ask you to explain your symptoms and urinary habits; for example, how often you need to urinate, when you leak urine, how much fluid and what kinds of fluids you drink, and whether you have any other symptoms along with incontinence. Your answers will provide clues about the cause of your incontinence.
Our team will send you an intake questionnaire before your appointment. Your initial exam will be the most productive if you can fill out the questionnaire, including the voiding diary, and bring it with you to your first visit.
Sometimes additional office tests may be necessary at a later visit. These may include:
Cystoscopy: a small telescope is placed in the urethra so that the doctor can visually assess the condition of the bladder and urethra
Urodynamic Test: small tubes are placed in the bladder and the rectum in order to measure the pressure and function of the urethra and bladder as they store and empty the urine
Videourodynamics: Studies that X-ray the bladder and measure it’s pressure during filling and emptying