Question 1

What is the difference between stress and urge incontinence?

Accepted Answer

Stress urinary incontinence occurs when physical movement or activity (coughing, sneezing, running, lifting) puts pressure on your bladder, causing leakage. Urge urinary incontinence involves a sudden, intense urge to urinate followed by involuntary leakage. Some people have both types, known as mixed incontinence.

Question 2

What do the QUID scores mean?

Accepted Answer

The QUID produces two separate scores: a Stress score (questions 1-3, range 0-15) and an Urge score (questions 4-6, range 0-15). A stress score of 4 or higher suggests stress incontinence, while an urge score of 6 or higher suggests urge incontinence. If both thresholds are met, mixed incontinence is suggested.

Question 3

Why are the cutoff scores different for stress and urge?

Accepted Answer

The diagnostic cutoffs (4 for stress, 6 for urge) were determined through validation research comparing QUID scores against clinical diagnosis. These specific thresholds provide the best balance of sensitivity and specificity for accurately identifying each type of incontinence.

Question 4

How does knowing my incontinence type help treatment?

Accepted Answer

Treatment approaches differ by type. Stress incontinence often responds well to pelvic floor muscle training and devices like pelvic floor electromagnetic stimulation. Urge incontinence may benefit from bladder training, behavioral techniques, and sometimes medication. Knowing your type helps your provider recommend the most effective treatment.

QUID: Questionnaire for Urinary Incontinence Diagnosis

Take the QUID to determine whether your urinary incontinence is stress type, urge type, or mixed, helping guide your treatment approach.

Frequently asked questions

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