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Childhood enuresis
Diabetes/ neuro conditions
Recent weight change/ coughing conditions?
Post menopausal? HRT?
Examination
General: weight, chest problems
Abdo: Exclude masses, urinary retention
Pelvic: Inspection, pt in left lateral position ask to cough, or on standing, use sims
speculum to look for prolapse of bladder neck, feel for any pelvic masses
Ix
1. MSU & dipstix rule out infection
2. Urinary diary
3. Consider IVP to rule out fistula & U/s or post micturation catherterization
retention & urinary overflow
4. If no overflow/fistula/infection urodynamics
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