Incontinence: The Daily PANCE Blueprint
A 50-year-old female leaks urine when she laughs or coughs, but has no urgency. What is the first-line treatment for the most likely diagnosis?
A. Anticholinergic medication
B. Pelvic floor muscle training
C. Surgery
D. Catheterization
E. Beta-3 adrenergic agonist
Answer and topic summary
The answer is B. Pelvic floor muscle training
Stress incontinence is defined as the involuntary leakage of urine. It occurs when there is increased intra-abdominal pressure – such as sneezing or coughing or laughing. This happens due to intrinsic sphincter deficiency or urethral hypermobility. Risk factors include: obesity, menopause, pregnancy, high-impact activities, cough, etc. Diagnostic test include an urinary stress test. Initial treatment includes pelvic floor muscle training, lifestyle changes, and a vaginal pessary. Surgery can be offered if patients are refractory to conservative measures.
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Covered under ⇒ PANCE Blueprint Genitourinary ⇒ ⇒
