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Overactive bladder — DRCOG MCQ

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EasyUrogynaecologyOveractive bladderDRCOG

A 56-year-old woman has urinary urgency, frequency and nocturia with occasional leakage before reaching the toilet. Urine dipstick is negative and pelvic examination is unremarkable. What is the most appropriate management?

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Correct answer: D — Offer bladder training for at least 6 weeks

Urgency-predominant symptoms with negative urinalysis suggest overactive bladder, initially managed with bladder training. Antimuscarinic or beta-3 agonist therapy may be considered if conservative measures are insufficient. Colposcopy and radiotherapy are unrelated. Severe fluid restriction can worsen symptoms and dehydration.

Reference: NICE NG123