Gynecologic and urodynamic evaluation of women with urinary incontinence.

One hundred women with urinary incontinence were evaluated at the urodynamic investigation unit. Sixty-seven percent of the patients in this series were found to have significant gynecologic disease underscoring the importance of simultaneous gynecologic and urologic investigation. Incontinence surgery was determined to be indicated in 44 of the 87 patients who had the symptom of stress urinary incontinence, suggesting that accurate evaluation of the lower urinary tract in women complaining of incontinence does allow a careful selection of patients for surgical therapy. Discussion is given regarding the determination of the amount of patient evaluation necessary before instituting therapy.