Complaints or symptoms patients report associated with the storage of urine include:
Symptom |
ICS Definition |
Increased daytime frequency |
Complaint by the patient who considers that he/she voids too often by day. |
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Nocturia
 |
Complaint that the individual has to wake at night one or more times to void.
Nocturia is a common complaint, particularly among the elderly male and female populations and in post-partum women. |
Urgency |
The sudden compelling desire to pass urine, which is difficult to defer.
| "Key in the Door syndrome” |
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Urinary Incontinence
|
Any involuntary leakage of urine. The ICS further describes specific types of urinary incontinence:
Stress Urinary Incontinence is the complaint of involuntary leakage on effort or exertion, or on sneezing or coughing.
Urge urinary incontinence is the complaint of involuntary leakage accompanied by or immediately preceded by urgency
Mixed urinary incontinence is the complaint of involuntary leakage associated with urgency and also with exertion, effort, sneezing or coughing.
Enuresis is the complaint of involuntary loss of urine. If it is used to denote incontinence during sleep, it should always be qualified with the adjective “nocturnal.”
Nocturnal Enuresis is the complaint of loss of urine occurring during sleep.
Continuous urinary incontinence is the complaint of continuous leakage
Other types of urinary incontinence may be situational, for example the report of incontinence during sexual intercourse or giggle incontinence. |
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Pain, discomfort and pressure are part of a spectrum of abnormal sensations felt by the individual.
Pain is often perceptual and can be indicative of poor bladder habits or a severe disease process such as interstitial cystitis (IC). Pain is the symptom that produces the greatest impact on the patient and may be related to bladder filling or voiding, and on occasion post-micturition, or be continuous. Pain should be characterized by type, frequency, duration, precipitating and relieving factors and by location.
Bladder pain is felt suprapubically or retropubically usually increases with bladder filling and may persist after voiding.
Urethral pain is felt in the urethra and the individual indicates the urethra as the site.
Vulval pain is felt in and around the external (female) genetalia.
Vaginal pain is felt internally, above the introitus.
Scrotal Pain may or may not be localized, for example to the testis, epididymis, cord structures or scrotal skin.
Perineal pain is felt in the female, between the posterior lip of the introitus and the anus. In the male, between the scrotum and the anus.
Pelvic pain is less well defined than other and less clearly related to the micturition cycle or to bowel function and is not localized to any single pelvic organ. |
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