General physical and neurological examinations should be performed. It is unusual, however, for a neurological examination to reveal unsuspected neurological dysfunction.
An initial evaluation should include an assessment of the patient's symptoms, detailed physical examination and urinalysis.
Once urinary tract infection has been excluded, it is possible to establish a working diagnosis based on the patient's description of symptoms. In cases where there is uncertainty regarding the diagnosis, more advanced investigations should be carried out.
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