QuestionSBA
QuestionChoice
Oxybutynin is an anticholinergic medication used in the treatment of urge incontinence and overactive bladder syndrome. Therefore it would not be suitable for this patient, who demonstrates symptoms of stress incontinence.
10008076
b
Oxybutynin
QuestionChoice
Doxazosin is an alpha adrenergic antagonist which causes urethral relaxation which may cause or exacerbate urinary incontinence. It is therefore not a suitable treatment for this patient.
10008077
c
Doxazosin
QuestionChoice
The history, of urine leakage upon coughing/sneezing, is suggestive of stress incontinence. A history of vaginal deliveries is a known risk factor in developing this. Duloxetine can help with stress incontinence, but it is only recommended if conservative measures have failed, and the patient is not a candidate for surgical intervention.
10008075
a
Duloxetine
QuestionChoice
Tolterodine is an example of an anticholinergic agent used in the treatment of urge incontinence and overactive bladder syndrome. Therefore it would not be suitable for this patient, who demonstrates symptoms of stress incontinence.
10008078
d
Tolterodine
QuestionChoice
Nifedipine is a calcium channel blocker which can cause mild urinary retention and is sometimes used for overflow incontinence. Therefore it would not be suitable for this patient, who demonstrates symptoms of stress incontinence.
10008079
e
Nifedipine
Concept
Chapter
2693
4059
Types of urinary incontinence
Topic
143
Urology
14162
An 87-year-old female visits the GP with concerns regarding urine leakage. This has been troubling her for several years and occurs whenever she coughs or sneezes. She previously gave birth to 4 children, all delivered by uneventful vaginal deliveries. She has tried pelvic floor exercises for the past 2 months with no improvement.

Which of the following is the most appropriate management of this type of urinary incontinence?
a