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Overactive bladder — DRCOG MCQ

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ModerateUrogynaecologyOveractive bladderDRCOG

A 59-year-old woman has urinary urgency, frequency and urge incontinence. Urine dipstick and culture are negative, and there is no prolapse on examination. She drinks six coffees daily. What is the most appropriate management?

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

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Correct answer: A — Bladder training and fluid/caffeine advice

Overactive bladder symptoms should initially be managed with bladder training and lifestyle advice, including caffeine reduction. Antibiotics are not indicated with negative culture and no infection symptoms. The teaching point is that behavioural treatment is first-line before medication in many women with urgency incontinence.

Reference: NICE NG123