Importance of Urologic Assessment for Pelvic Organ Prolapse With Occult Incontinence

A Case Study

William E. Somerall, Jr., MD, MAEd; Lisa S. Pair, DNP, RN, WHNP-BC


Urol Nurs. 2020;40(5):245-247, 257. 

In This Article

Implications for Practice

Though patients may be adamant that they experience no incontinence in the presence of prolapse, it is important to assess for UI and voiding dysfunction. In addition, patient education on the dynamics of occult incontinence is important to achieve complete understanding of incontinence and possible voiding issues. A trial of conservative therapy, such as a vaginal pessary may provide patients with relief and an alternative to surgical intervention. Using a decision aid can also support provider counseling to improve knowledge regarding the pros and cons of treatment options, and to ensure treatment plans are based on individual patient values and preferences.