▁or ▁after ▁an ▁anti - in cont in ence ▁procedure ▁which ▁has ▁over correct ed ▁the ▁problem . ▁Early ▁sympt oms ▁include ▁a ▁hes it ant ▁or ▁slow ▁stream ▁of ▁ur ine ▁during ▁volunt ary ▁ur ination . ▁Ant ich ol iner g ic ▁and ▁NS A ID s ▁medic ations ▁may ▁w ors en ▁overflow ▁in cont in ence . ▁ ▁Di agn osis ▁The ▁gold ▁standard ▁for ▁all ▁ur inary ▁in cont in ence ▁is ▁an ▁u rod ynamic ▁study ▁that ▁looks ▁for ▁bl ad der ▁capacity , ▁det rus or ▁stability , ▁contract ility , ▁and ▁void ing ▁ability ▁( c yst ometry ). ▁ ▁Management ▁Medic ations ▁Beth ane ch ol ▁( Management ▁of ▁overflow ▁in cont in ence ▁by ▁activ ating ▁mus car in ic ▁re cept ors ▁in ▁the ▁bl ad der ▁and ▁stim ulating ▁contra ction ▁to ▁void ▁the ▁ur ine , ▁NOT ▁a ▁treatment ▁mod ality ; ▁must ▁rule ▁out ▁ur inary ▁obst ruction ▁prior ▁to ▁use .) ▁ ▁S urg ery ▁ ▁C ath eter ization ▁If ▁an ▁in cont in ence ▁is ▁due ▁to ▁overflow ▁in cont in ence , ▁in ▁which ▁the ▁bl ad der ▁never ▁em pt ies ▁completely , ▁or ▁if ▁the ▁bl ad der ▁cannot ▁empty ▁because ▁of ▁poor ▁mus cle ▁tone , ▁past ▁surg ery , ▁or ▁sp inal ▁cord ▁injury , ▁a ▁c ath eter ▁may ▁be ▁used ▁to ▁empty ▁the ▁bl ad der . ▁A ▁c ath eter ▁is ▁a ▁t ube ▁that ▁can ▁be ▁inserted