Urologic Dysfunction After Menopause (cont.)
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Urologic Dysfunction After Menopause Diagnosis
The initial exams and tests for all urinary problems after menopause are essentially the same. The doctor first asks about symptoms, medical and surgical history, medications, and habits, such as smoking, drinking caffeine, and exercising.
Women also undergo a physical exam. Depending on symptoms, the physical exam can include a vaginal, pelvic, and rectal exam.
For all conditions, but particularly for urinary tract infection, women are asked to provide a urine sample. Most often, women are asked to provide a "clean catch" sample, which means collecting the urine midstream after cleansing the area around the urethra. The following aspects of the urine are examined:
Urinary tract infections
In most cases, a urinalysis provides the doctor with all the information needed to treat a urinary tract infection. In some cases, the urine is cultured to see what kind of bacteria is responsible for the infection. This information helps the doctor determine what type of antibiotic the infection will respond best to. If a more complicated infection is suspected, such as pyelonephritis or kidney failure, a woman may be asked to undergo blood tests. Severe urinary tract infections usually require intravenous (IV) antibiotics and possibly a hospital stay.
Bladder control problems
The number and type of tests women undergo depend on the type of bladder control problem and the severity.
The primary way to diagnose bladder prolapse is through a physical exam of the female genitalia to see if the bladder has entered the vagina, which confirms the diagnosis. Other tests may be performed to determine the grade of bladder prolapse:
Medically Reviewed by a Doctor on 5/19/2016
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