Which finding supports a diagnosis of Urge UI?

Which finding supports a diagnosis of Urge UI?

• A. History of multiple births
• B. Leakage with cough stress test
• C. Leakage of large amounts of urine preceded by urgent need to void
• D. Reduced strength of voided stream and incomplete emptying

Answer: (C)

Urgent urinary incontinence is characterized by leakage that follows a sudden, compelling urge to void that cannot be deferred. The described finding—leakage of a large amount of urine that occurs after an urgent need to void—fits this pattern, because the timing of leakage is triggered by urgency rather than by physical stress or by incomplete bladder emptying. In contrast, leakage with coughing or other physical stress points to stress incontinence, and a weak, poorly flowing stream with incomplete emptying suggests voiding dysfunction or overflow, not urge UI. Recognizing urgency-linked leakage helps distinguish urge UI from other types and guides management toward bladder training and therapies that reduce detrusor overactivity.

Urgent urinary incontinence is characterized by leakage that follows a sudden, compelling urge to void that cannot be deferred. The described finding—leakage of a large amount of urine that occurs after an urgent need to void—fits this pattern, because the timing of leakage is triggered by urgency rather than by physical stress or by incomplete bladder emptying.

In contrast, leakage with coughing or other physical stress points to stress incontinence, and a weak, poorly flowing stream with incomplete emptying suggests voiding dysfunction or overflow, not urge UI. Recognizing urgency-linked leakage helps distinguish urge UI from other types and guides management toward bladder training and therapies that reduce detrusor overactivity.