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Mixed urinary incontinence — DRCOG MCQ

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ModerateUrogynaecologyMixed urinary incontinenceDRCOG

A 49-year-old woman leaks with coughing and also has urgency leakage. She finds urgency episodes more bothersome. Urine dipstick is negative. What is the most appropriate management?

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Correct answer: C — Treat according to the predominant urgency symptoms first

In mixed urinary incontinence, treatment is directed towards the predominant symptom. Here urgency is most bothersome, so bladder training and overactive bladder management are prioritised. Stress-focused treatment alone may not address her main concern. Antibiotics are not indicated without evidence of infection.

Reference: NICE NG123