How is urge incontinence often diagnosed?

How is urge incontinence often diagnosed?

• A. History alone
• B. Urinalysis
• C. Voiding diary
• D. Urodynamic testing

Answer: (A)

Diagnosing urge incontinence is primarily a clinical process based on the patient's history. When a patient describes a sudden, compelling urge to void that leads to leakage, often accompanied by frequency or nocturia, this pattern is characteristic of urge incontinence and can be identified without invasive testing in uncomplicated cases. While a urinalysis is useful to exclude infections or other mimics, and a voiding diary can help document and quantify symptoms, neither is required to establish the diagnosis by itself. Urodynamic testing is more invasive and is typically reserved for atypical cases, diagnostic uncertainty, or preoperative planning.