skip to main content

Stress urinary incontinence — DGM MCQ

Instant feedback + full explanation. One question, done properly.

EasyContinenceStress urinary incontinenceDGM

A 74-year-old woman leaks small amounts of urine when coughing, laughing and climbing stairs. She has no urgency and no nocturnal enuresis. Pelvic examination shows mild atrophic change but no prolapse beyond the hymen. Current medicines include no regular medicines. What is the most likely diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: D — Stress urinary incontinence

Leakage with raised intra-abdominal pressure without urgency is typical of stress urinary incontinence. Urge incontinence has urgency, overflow suggests retention, delirium-related incontinence is acute with confusion, and faecal incontinence involves stool. Pelvic floor muscle training is a first-line non-surgical treatment.

Reference: NICE NG123