A 35-year-old woman with stress urinary incontinence is advised first-line conservative management. Which intervention is recommended as the initial treatment?
- A Pelvic floor muscle training (Kegel exercises) ✓
- B Duloxetine
- C Mid-urethral sling
- D Burch colposuspension
Correct answer: A. Pelvic floor muscle training (Kegel exercises)
Explanation
Pelvic floor muscle training (PFMT) supervised by a trained therapist is the recommended first-line conservative treatment for stress urinary incontinence per NICE and Indian guidelines. It should be offered for at least 3 months before considering surgery. Mid-urethral sling and Burch colposuspension are surgical options. Duloxetine is a second-line pharmacological option when surgery is declined or contraindicated.
Reference: Shaw's Textbook of Gynaecology, 18th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.