A 40-year-old woman presents to the GP with urinary frequency, nocturia, and urgency. She occasionally leaks urine before reaching the toilet. She has...

Question

A 40-year-old woman presents to the GP with urinary frequency, nocturia, and urgency. She occasionally leaks urine before reaching the toilet. She has no stress incontinence symptoms. A urine dipstick is negative. She has tried bladder training for 8 weeks with limited improvement. According to NICE NG123, which is the single most appropriate next step?

Accepted Answer

Offer a trial of an antimuscarinic drug (e.g., oxybutynin, solifenacin, or tolterodine) or mirabegron

Answer

Refer for urodynamic studies

Answer

Refer for botulinum toxin injection

Answer

Prescribe desmopressin for nocturia

Answer

Refer for sacral nerve stimulation

uk-drcog MCQ (SBA): OAB - Pharmacological Treatment After Bladder Training