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Urinary incontinence referral — DGM MCQ

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ModerateContinenceUrinary incontinence referralDGM

A 79-year-old woman has mixed urinary incontinence despite supervised pelvic floor training and bladder training. Symptoms remain socially limiting after several months. Urine culture is negative and post-void residual is low. Current medicines include no relevant medicines. What is the most appropriate referral?

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Correct answer: D — Specialist continence or urogynaecology service

Persistent bothersome incontinence despite conservative treatment warrants specialist continence or urogynaecology assessment. Emergency, dermatology and memory pathways do not fit, and quality-of-life impact is a valid reason for referral. Non-specialists should start conservative care but know when to escalate.

Reference: NICE NG123