Sometimes routine testing does not reveal the underlying cause, and further evaluation is required.
A urologist or a urogynecologist helps in specialized testing if your health concern is accompanied by pain, recurrent UTIs, blood or protein in the urine, neurological symptoms or muscle weakness, or pelvic organ prolapse.
The health care professional will perform a limited physical exam to look for signs of medical conditions that may cause UI. The health care professional may order further neurologic testing if necessary. The health care professional may also perform pelvic and rectal exams.
Pelvic exam. A pelvic exam is a visual and physical exam of the pelvic organs. The health care professional has the woman come to the exam with a full bladder.
Digital rectal exam. A digital rectal exam is a physical exam of the rectum. The health care professional look into the rectum, usually during a pelvic exam. A digital rectal exam to check for stool or masses in the rectum that may be causing UI.