Complaint of involuntary loss of urine on effort or physical exertion including sporting activities etc, or on sneezing or coughing. “Activity-related incontinence” might be preferred in some languages to avoid confusion with psychological stress.
Does leakage occur with a cough / sneeze?
Does leakage occur with exercise or physical activity eg; lifting or bending over?
Does leakage occur with change of position eg; sit to stand?
Further investigation or referral to specialist is indicated when incontinence is associated with, or accompanied by:
Persistent or recurring urinary tract infections.
Dysuria, persisting bladder or urethral pain.
Haematuria, glycosuria or persistent proteinuria.
Inability to empty bladder or straining to empty.
Post void residual volume >200ml.
Rectal bleeding or unexplained vaginal bleeding.
Recent sudden alteration of bowel habits with no obvious explanation.
Persistent vulvo-vaginal itching area or undiagnosed vulval or rectal dermatological conditions.
Pelvic organ prolapse (POP) past introitus causing difficulty emptying bladder.
Pelvic masses, unexplained weight loss or unremitting night pain.
Suspected neurological disease e.g. MS, Parkinson’s disease, stroke, dementia or spinal cord symptoms, such as muscle weakness/wasting, altered reflexes, altered sensation (generally and saddle region), inability to empty bladder, loss of sensation when voiding.