A 40-year-old woman presents to the GP with stress urinary incontinence and a sensation of vaginal bulging. On examination, there is a stage 2 anterio...

Question

A 40-year-old woman presents to the GP with stress urinary incontinence and a sensation of vaginal bulging. On examination, there is a stage 2 anterior vaginal wall prolapse (cystocele extending to the introitus). She is premenopausal. She has tried pelvic floor exercises for 4 months with limited improvement. She declines a pessary. According to NICE NG123, what is the next management option?

Accepted Answer

Refer for consideration of surgical repair (anterior colporrhaphy or mesh repair)

Answer

Prescribe duloxetine

Answer

Prescribe oxybutynin

Answer

There are no further options

Answer

Prescribe topical vaginal oestrogen only

uk-drcog MCQ (SBA): Cystocele - Surgical Referral After Failed Conservative