A 33-year-old woman, 8 weeks postpartum, attends the GP reporting persistent urinary incontinence. She leaks urine when coughing, sneezing, and during...

Question

A 33-year-old woman, 8 weeks postpartum, attends the GP reporting persistent urinary incontinence. She leaks urine when coughing, sneezing, and during exercise. She has been doing pelvic floor exercises since delivery but inconsistently. Her perineum is healed. Which is the single most appropriate management?

Accepted Answer

Refer to a specialist women's health physiotherapist for a supervised pelvic floor muscle training programme of at least 3 months

Answer

Refer for immediate surgical intervention

Answer

Prescribe anticholinergic medication

Answer

Reassure that nothing can be done

Answer

Advise her to avoid all exercise

uk-drcog MCQ (SBA): Persistent SUI - Supervised Physiotherapy Referral