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Bladder Leakage Test

The level of burden that male incontinence can have on your life can make a difference between just living with it and taking the steps necessary to put an end to it. The below quiz has been developed based on a common benchmark standard, the International Consultation on Incontinence Modular Questionnaire (ICIQ). Complete this short quiz to receive your bladder leakage severity score.

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Please note that the quiz is designed to identify if you are experiencing bladder leakage and how severe your symptoms are. It does not provide a diagnosis or medical advice. It simply serves as a tool to understand better incontinence severity and symptoms. You should discuss the answers to these questions with your urologist or a healthcare professional specialised in bladder control.

Which best describes your situation?

How long has bladder leakage been an issue?

How frequently does the bladder leakage occur?

Please estimate how much urine usually leaks during an episode, whether protection is worn or not.

Using the scale below, tell us how much bladder leakage interferes with your regular life.

(0 = No Interference, 5 = Moderate Interference, 10 = Major Interference)

When does the bladder leakage occur? Please select all that apply.

If you or the person you care for was treated for prostate cancer, which treatment was received? Please select all that apply.

If a radical prostatectomy was performed, how long ago was it?

Select all treatments that have been tried to manage the bladder leakage.

How would the sufferer feel if their current urinary condition was permanent and not treatable?

Would you like to know more about alternative treatment options?

Would you like to receive your results via email?

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