If you had access to a bladder scanner, that would be magnificent. You could have the pt urinate, and then scan the bladder to see if he/she has problems with retention. If the problem of leakage is related to retention, there are meds such as Flomax that can help with this along with instruction the pt to double void every time. Of course a U/A to assess for UTI would be essential. I do not think that bladder suspension is a first line procedure. Medications, bladder training, etc. would always be utilized first before a surgical procedure would ever be considered.