Monitoring
Patients should be followed up by their physician on an annual basis to identify any change in symptomatology and to provide continued instruction on pelvic floor muscle exercises (Kegel exercises) and behavior modification. Several methods for objective and subjective monitoring of persistent urinary incontinence have been developed. Among these, recommended methods include voiding diaries, cough stress tests, patient questionnaires, and urodynamic evaluation to differentiate persistent incontinence and irritative voiding symptoms. Clinicians should regularly review and consider stopping anticholinergic drugs if there is no clear evidence of benefit.[120]
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