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Stress urinary incontinence — DRCOG MCQ

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EasyUrogynaecologyStress urinary incontinenceDRCOG

A 43-year-old woman leaks urine when running and coughing. She has no urgency, dysuria or haematuria. Pelvic examination is normal and urine dipstick is negative. What is the most appropriate management?

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

Stress urinary incontinence should initially be managed with supervised pelvic floor muscle training for at least 3 months. Antimuscarinics are used for overactive bladder symptoms, not pure stress leakage. Surgery is considered after conservative measures and specialist assessment. The pearl is to classify the type of incontinence before treating.

Reference: NICE NG123