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Stress urinary incontinence — DRCOG MCQ

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EasyUrogynaecologyStress urinary incontinenceDRCOG

A 44-year-old woman leaks urine when coughing, running and lifting. She has no urgency, dysuria or haematuria. Pelvic examination is normal and BMI is 33 kg/m². What is the most appropriate management?

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Correct answer: C — Supervised pelvic floor muscle training for at least 3 months

Stress urinary incontinence should initially be managed with supervised pelvic floor muscle training and lifestyle measures such as weight loss. Antimuscarinics are for overactive bladder symptoms, not pure stress leakage. The pearl is that conservative therapy should be structured and supervised, not simply mentioned once.

Reference: NICE NG123