To diagnose urinary incontinence, your doctor may first ask about your symptoms and medical history. Your pattern of urination and leakage will suggest the type of incontinence. Other factors that can help with the diagnosis include stress and discomfort, medication use, history of surgery and other medical conditions. If the diagnosis is not clear from your medical history, you will need to choose the next necessary tests. Your doctor will perform a physical exam to identify signs and conditions that cause urinary incontinence, such as tumors that block the urethra, constipation and decreased reflexes or sensation. The doctor may also check bladder volume and residual urine for evidence of decreased function of the forceps. To do these tests, you will need to drink a lot of water and urinate into an examination container. Your doctor will also recommend the following tests. Exercise test to relax and cough hard so the doctor can watch for leaks. Routine urine test to check the urine for infection, stones or other causes. Blood tests to check for blood components associated with urinary incontinence. Ultrasound to “see” the kidneys, ureters, bladder and urethra. Cystoscopy is a thin tube with a camera that is inserted into the urethra and looks inside the bladder and urethra. Urodynamics – A variety of techniques are used to measure pressure and urine flow in the bladder. Your doctor may also recommend that you record your urination for a day or several days or even a week. This urinary diary involves recording the number of times you urinate and the volume of urine you pass each time.