OK. The squeamish should look away now...
Before the appointment, there is homework:
a 3-day bladder diary - keep a log of all fluid in and out, and note any leaks;
an online questionnaire divided into bladder, bowel, vagina and sex life. Most of it wasn't applicable to me, but instead of finding that reasuring, I thought oh golly, this is how bad it can get;
a pad test. You drink a litre of water. Wait an hour. Put on a huge pad and do some exercises (cough, go upstairs, sit up/down, run the tap). After an hour remove the pad and put it in a bag and seal it. They weigh it to see how much you've leaked.
At the appointment, the nurse who was looking after me directed me to a changing room and told me to strip off my bottom half and put on a surgical gown. Then I went into the room next door and had to sit on a commode and pee.
Then what is supposed to happen is you sit on a bed and they insert 2 catheters. But if you're me, you burst into tears and ask if they have some drugs, preferably soporific ones. She offered me an anaesthetic gel but as she approached me with it I screamed and cried some more. Anyway, after much sobbing and hand-holding they did the catheters, which wasn't exactly painful but was unpleasant in a finger-wriggling way. Then they put a tiny balloon thing up your bum which wasn't painful. They pass water through one of the catheters until you feel full. You're asked to cough every minute. When you're full you stand up and cough some more and they turn a tap on. Then you sit on another commode and pee, then stand up and all the stuff is removed.
It lasted about an hour, but about half of that was crying . They need to do all those tests to assess exactly what the problem is. She said that she thought I'd probably be offered surgery (TVT) which I was a bit surprised at as I haven't been offered anything else. I queried it and she agreed to refer me to a specialist physio.
I've looked up the TVT procedure and really don't like the look of it. Partly because I just don't think I could handle it. Also the risks and side effects are ones that I don't think I would find acceptable. Also it's relatively new surgery therefore there are a lot of unknowns. So I'm pinning my hopes on physio.