Incontinence is defined by involuntary urinary loss. Objectively demonstrable, causing
social and hygienic problems 1.
In the evaluation of Urinary Incontinence it is necessary to make a complete history with a detailed description of the urinary loss characteristics. Most women relate an insidious beginning of the symptoms 2,3. These symptoms at the beginning abrupt, are very unusual, in these intra-vesicle pathological cases we must eliminate infection, foreign body, tumor or calculus 3.
Smoking, obesity, constipation and the professions that demand weight lifting and transportation of weight may cause a constant increase of intra- abdominal pressure, compromising the quality of the pelvic floor 3 .
The frequency of the symptoms should give a vision of the intensity of urinary loss and its effects in life quality. Meanwhile, the frequency of the episodes of urinary loss evaluated in this subjective way do not show a precise relation of the gravity of Urinary Incontinence 4. Symptoms such as polyuria and urination urgency, many times associated to Urinary Incontinence, may aggravate this social problem, this means urination urgency with or without Urinary Incontinence may present a larger impact in the life of these patients 5.
The pad test is a method that quantifies Urinary loss by means of evaluation of the weight variation of the pad after ingesting liquids and physical pre-established activities 1. The test of the pad of 1 hour compared with the clinical history, or with other conventional methods (stress test and Urinary cistouretrografia) is simple and may be used in many patients, even the elderly 6.
The purpose of our study was to evaluate the value of the subjective propaedeutic evaluation (questionnaire) and objective (pad test) in the diagnosis of Urinary Incontinence in women.