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Stress urinary incontinence — DGM MCQ

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EasyContinenceStress urinary incontinenceDGM

A 78-year-old woman has stress urinary leakage when coughing and lifting shopping. She has no urgency, no dysuria and normal urinalysis. Pelvic examination shows mild prolapse but no retention. What is the most appropriate management?

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

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Correct answer: C — Supervised pelvic floor muscle training

Stress urinary incontinence is managed initially with supervised pelvic floor muscle training. Oxybutynin is for urgency symptoms and can cause anticholinergic adverse effects. Fluid restriction can worsen constipation, dehydration and delirium risk.

Reference: NICE NG123