Instructions: Listen to the podcast episode available below, and then submit your answers to the multiple choice questions. You will review the answers and the material covered during your next Continuity Clinic Session.
1. A 46 yo female reports urinary incontinence that is intermittent throughout the day and night. Her symptoms have been more severe over the last few months. She has leaking when running to the bathroom, after sneezing and when getting out of the car. She wakes up 1-2 times per night with a strong desire to void and leaks along the way. Multichannel cystometrography shows detrusor activity. What is the best next step in management?
2. A 62 yo female with obesity has a diagnosis of mixed urinary incontinence. She does not want to undergo surgery but desires to try behavioral interventions. Along with pelvic floor muscle exercises, the intervention that is most likely to reduce leakage is:
3. A 32 yo G1P1 presents with urinary incontinence. She wants to be pregnant next year. She developed urine leakage with exercise and running after her last delivery. This leaking interferes with her quality of life. She has no urgency symptoms. What is the best treatment option?