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Post-stroke urinary incontinence — DGM MCQ

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HardContinencePost-stroke urinary incontinenceDGM

An 87-year-old man has urinary incontinence after a stroke and recurrent falls rushing to the toilet. He has tried timed toileting, constipation treatment and medication review. Bladder scan is normal and urinalysis is negative, but symptoms remain distressing. What is the most appropriate referral?

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

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Correct answer: D — Community continence service

Persistent bothersome continence problems after initial assessment and conservative measures warrant continence service referral for tailored bladder, mobility and equipment interventions. A memory clinic may be relevant if cognition contributes, but the main unresolved issue is continence management. Continence services can reduce falls and carer burden as well as leakage.

Reference: NICE NG123; NICE NG236