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Stress urinary incontinence — CCFP MCQ

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HardWomen's health/OB/GYNStress urinary incontinenceCCFP

A 52-year-old with stress-predominant urinary incontinence has no prolapse, hematuria, dysuria or neurological symptoms. What is the best first-line treatment?

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

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Correct answer: A — Recommend supervised pelvic-floor muscle training

Explanation lettering: C = shown as A · A = shown as B · D = shown as C · E = shown as D · B = shown as E

C is correct. Supervised pelvic-floor training is first-line conservative care. D targets urge symptoms and has adverse effects. E, A and B are inappropriate without specific indications. Review bladder habits and factors that worsen leakage.

Reference: CMAJ: Diagnosis and management of urinary incontinence in females: https://www.cmaj.ca/content/198/20/E769