Genitourinary

Question 1

Urge Incontinence (Overactive Bladder)

Answer 1

Conservative
- Bladder Retraining (6 weeks, increase intervals between voiding)

Medical

• Antimuscarinics to relax detrusor (Oxybutynin, Tolterodine)
• Mirabegron (Beta-3-agonist) to activate sympathetic relaxation of detrusor and contraction int sphinc.

Question 2

Stress Incontinence

Answer 2

Conservative
- Pelvic Floor Training

Medical
- Duloxetine (if decline surgery) Noradrenaline and serotonin reuptake inhibitor in pudendal nerve –> contraction external sphincter.

Surgical
- Taping of urethra.