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Overactive bladder — DRCOG MCQ

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HardUrogynaecologyOveractive bladderDRCOG

A 52-year-old has urgency, frequency and urge urinary leakage. Urinalysis is normal and there is no prolapse or stress-predominant leakage. What should be offered first?

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Correct answer: A — Offer supervised bladder training over a six-week programme

The best answer is “Offer supervised bladder training over a six-week programme”. This is consistent with urgency urinary incontinence or overactive bladder. NICE recommends bladder training for a minimum of 6 weeks as first-line treatment for urgency or mixed urinary incontinence. Medicines may be considered if behavioural treatment is inadequate, while surgery, invasive testing and antibiotics are not the initial approach in this uncomplicated presentation.

Reference: NICE NG123: Urinary incontinence and pelvic organ prolapse in women: https://www.nice.org.uk/guidance/ng123/chapter/recommendations