Connecting Clinician to Patient in regards to Stress Urinary Incontinence

Below are some stats regarding Stress Urinary Incontinence that I feel are worth reading. I had planned to add them to my FB Live, but feel they have more impact when read.

There seems to be a disconnect between women and clinicians when describing symptoms. Awareness is key and not all women understand that although Stress Urinary Incontinence can be a typical postpartum symptom....its not something we have to live with. Its a symptom that can be pushed under the rug and excused due to lack of knowledge on the part of both the clinician and patient.

Mommy Ready is striving to create this awareness and knowledge to women immediately postpartum and women with continued symptoms after many years have passed since childbirth. The Mommy Ready Program is hoping to provide a resource and a remedy for women of all ages.

Show your clinician the Mommy Ready Program at your next appointment. Use it as a tool in explaining your symptoms.

The investigators showed that, although only 30%

of the women reported pure SUI by symptoms,

62% had pure SUI established by urodynamics.

This corresponded to a positive predictive value of

73.7% and a negative predictive value of 58.2%.

FitzGerald and Brubaker 6 showed a similar lack of

specificity in a study comparing the commonly

used Incontinence Impact Questionnaire (IIQ) and

the Urogenital Distress Inventory (UDI) with

urodynamic diagnosis in 293 women in a tertiary

care center.

These results, however, are not entirely surprising.

Women being evaluated for incontinence are asked

to characterize their urine loss as “stress” versus

“urge,” and, although these terms may be second

nature to clinicians, they are unfamiliar to patients

and often are not well understood.

Thus, women

have difficulty communicating the character of

their urinary incontinence in terms that the

clinician understands, potentially leading to


In addition, for many women, the

occasional symptom of stress loss may not

translate into a level of bother that qualifies as the

disease of stress incontinence. Indeed, in the study

by FitzGerald and Brubaker, 6 diagnostic accuracy

of the UDI and IIQ increased to 90% when the

calculation included women who indicated that

they not only had the symptom of “leakage related

to activity” but also were “greatly bothered” by it.