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Stress urinary incontinence — DRCOG MCQ

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EasyUrogynaecologyStress urinary incontinenceDRCOG

A 42-year-old woman leaks urine when coughing, laughing and running. She has no urgency, dysuria or haematuria. Pelvic examination shows mild anterior vaginal wall descent. What is the most appropriate management?

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Correct answer: B — Offer supervised pelvic floor muscle training for at least 3 months

Stress urinary incontinence is first managed with supervised pelvic floor muscle training for at least 3 months. Antibiotics are not indicated without infection. Antimuscarinics are used for urgency-predominant overactive bladder symptoms. Surgery is considered after conservative measures and specialist assessment.

Reference: NICE NG123