The initial goals of an incontinence evaluation are twofold: to determine if a patient has a reversible cause of incontinence, or has findings that warrant referral for subspecialty or surgical care. lf these concerns are not substantiated, the next step is to differentiate between the diagnosis of urge incontinence (uncontrollrrd blodder detrusor contractions) or stress incontinence (an ineffective urinary outlet sphincter). Treatments are then prescribed depending on the type of incontinence identified.