I E N T G L O B A L
I M P R E S S I O N – I M P R O V E M E N T
the one number which best describes how your urinary tract condition is
now, compared to how it was before you began taking medication in this
Very Much Better
Predominant symptom of SUI >3
No predominant symptoms of urge
incontinence or enuresis.
No prior continence surgery.
Incontinence episodes =4 per week.
Diurnal frequency <8 per day.
Nocturia <3 per night.
Positive Stress Pad Test (SPT
Positive Cough Stress Test.
I worry about not being able to get to the toilet on time.
I worry about coughing or sneezing because of my incontinence.
I have to be careful standing up after I've been sitting down because
I worry about where toilets are in new places.
Because of my incontinence, I don't feel free to leave my home for
I worry about others smelling urine on me.
Incontinence is always on my mind.
It's important for me to make frequent trips to the toilet.
Because of my incontinence, it's important to plan every detail in advance.
I worry about my incontinence getting worse as I grow older.
I have a hard time getting a good night of sleep because of my
I worry about being embarrassed or humiliated because of my incontinence.
My incontinence makes me feel like I'm not a healthy person.
My incontinence makes me feel helpless.
I get less enjoyment out of life because of my incontinence.
I worry about wetting myself.
I feel like I have no control over my bladder.
I have to watch what or how much I drink because of my incontinence.
My incontinence limits my choice of clothing.
I worry about having sex because of my incontinence.
to each question are:
= extremely, 2 = quite a bit, 3 = moderately, 4 = a little, 5 = not at all.
Total Score = 100 x ([raw score – lowest possible score] [highest
possible score – lowest possible score]).
Worst Possible Quality of Life score.
Best Possible Quality of Life score.