A 62-year-old woman has urinary urgency and frequency with occasional urge leakage. Urinalysis and pelvic examination are normal, and postvoid

Question

A 62-year-old woman has urinary urgency and frequency with occasional urge leakage. Urinalysis and pelvic examination are normal, and postvoid residual is minimal. She has tried bladder training and fluid timing for 3 months without sufficient improvement. She has narrow-angle glaucoma controlled after laser iridotomy. Which of the following is the most appropriate next step in management?

Accepted Answer

Start mirabegron

Answer

Start high-dose loop diuretic

Answer

Prescribe nightly antibiotics

Answer

Place chronic indwelling catheter

Answer

Refer for nephrectomy

Overactive bladder — USMLE Step 3 MCQ