A 73-year-old woman presents to the GP with recurrent stress urinary incontinence. She has had three vaginal deliveries and a BMI of 32. She has tried...

Question

A 73-year-old woman presents to the GP with recurrent stress urinary incontinence. She has had three vaginal deliveries and a BMI of 32. She has tried pelvic floor muscle training for 3 months with a specialist physiotherapist without adequate improvement. She does not wish to have surgery. According to NICE NG123, what is the MOST appropriate next step?

Accepted Answer

Offer Duloxetine as an adjunct to pelvic floor exercises

Answer

Start Oxybutynin 5 mg BD

Answer

Arrange urodynamic studies

Answer

Start intermittent self-catheterisation

Answer

Offer a trial of Mirabegron

uk-dgm MCQ (SBA): Stress Urinary Incontinence - Second-Line Management