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Many types of doctors can diagnosis urinary incontinence problems. Urogynecologists and urologists offer additional expertise. Talk with your doctor about a referral to a urogyn, if needed. 

History and Physical Exam

During the initial appointment, your provider will perform a detailed medical history and physical exam and try to diagnose the type of urinary incontinence you have. Your provider also will perform a detailed pelvic exam to evaluate your pelvic support, anatomy, and muscle strength.

In order to evaluate your urinary incontinence and risk factors, you may be asked about your pregnancy history, bowel habits, medications and supplements, and any difficulties with sexual relations.

In addition, diaries and other exams or studies may help your doctor assess your urinary incontinence symptoms

Bladder diary: Your provider may have you fill out a bladder diary to better understand how often and how much you urinate and what leads to urinary leakage. 

Urodynamic testing: This test can be helpful to figure out what parts of the bladder and urethra are functioning correctly, and which parts are not.

Cystoscopy: Cystoscopy is a procedure that uses a camera to look inside of the bladder and urethra to see if there are any stones, tumors, inflammation or other problems that might be contributing to the bladder not working properly.