Table 2.

Focused history and physical examination in women with postoperative urgency and urgency urinary incontinence

History

Was there U/UUI before surgery?

If yes, is the current U/UUI better, same, or worse compared to before surgery?

If yes, was a medication used for symptoms before surgery?

When did the symptoms start in relation to surgery?

Was an objective measure of preoperative urinary symptoms used (i.e., validated questionnaire)?

Were preoperative urodynamics performed and, if so, are those available for review?

What type of surgical procedure was performed for SUI?

Were any adjunct procedures performed for POP or other reconstructive reasons?

Were there any voiding LUTS before surgery and at present?

Is an operative report from the current surgery available?

If yes, this should be reviewed for surgical details and any deviations from standard technique

Has there been any gross hematuria or dysuria?

Were any previous pelvic surgeries performed?

Was there a requirement for a prolonged indwelling catheter or was there immediate voiding?

How bothered is the patient by her symptoms?

Physical examination

Skin incisions (lower abdominal, suprapubic, transobturator, none)

Urethral mobility and results of cough/Valsalva stress test

Characterization of POP

Degree of postoperative vaginal healing

Degree of vaginal estrogenization

Points of tenderness

Foreign bodies (e.g., stiches or mesh), exposed or subepithelial. POP=Pelvic organ prolapse, U/UUI=Urgency and urgency urinary incontinence, SUI=Stress urinary incontinence, LUTS=Lower urinary tract symptoms