Female urinary incontinence is a real public health problem that affects about one-third of women. However, this condition remains under diagnosed and its incidence remains underestimated. The aim of this work is to expose the frequency of this disease in our gynecologic outpatient and to identify the patient’s epidemiologic features.

This is a prospective descriptive study conducted in our institution for a period of one month. All the women attending our department outpatient were asked about the different urinary symptoms. The Urinary Symptom Profile (USP) was the used questionnaire.

During the study period, 108 patients were seen at our gynecologic outpatient.
The main reason for the consultation was related to pelvic organ prolapse in 9 cases, pelvic pain in 18 cases, pruritus or vaginal discharge in 12 cases, vaginal bleeding in 21 cases, fertility problems in 10 cases, a mammary problem in 03 cases, postoperative controls in 14 cases, 18 patients presented  their results of  explorations. Symptoms related to urinary incontinence were described in three cases (2,77 %).
27 of 105 patients had undeclared symptoms related to urinary incontinence (25.71%).
Twelve of these women had symptoms suggestive of stress urinary incontinence. Overactive bladder was suspected in two women. Mixed symptomatology was found in 13 cases.

If we rely only on the patient's stated reason for consultation, urinary incontinence is only found in 2.77%. By using adapted questionnaire this rate increases to 27.77%.
The main causes of this disease denial is related to a disease misunderstanding and to the discomfort felt if we talk about it.

The patient confidence, talking about this disease and the use of adapted questionnaire in all the gynecologic consultations lead to make up 25% of the under diagnosed urinary incontinence.