The value of clinical examination of the female incontinent patient.

The role of different instruments in evaluation of disturbance in the lower urinary tract has been discussed briefly, emphasizing simplicity and the power of the contact between the physician and the patient. A good history based on clear and descriptive language is still the milestone in making the correct diagnosis. Combined with a proper physical examination and simple inexpensive and time-saving clinical examination this may leave only few patients requiring sophisticated multichannel urodynamic equipment before the adequate treatment can be offered. One should bear in mind that the world is facing diminishing medical resources at the same time as there are more and more women seeking help for their incontinence. Therefore the measurements must be cost effective and patient friendly.