Option List :
A. Supervised pelvic floor muscle training
B. Intramural bulking agents
C. Bladder training
G. Botulinum toxin A 100units
H. Top down retro public mid urethral sling
I. Percutaneous sacral nerve stimulation
J. mid-urethral mesh sling trans vaginal tape
K. Botulinum toxin A 200units
L. Augmentation cystoplasty
M. Local MDT review
N. Botulinum toxin A 200units B 200units
Each of the following clinical scenarios below relate to different treatment options for woman with incontinence.
For each patient select the single most appropriate treatment option from the list above. Each option may be used once, more than once or not at all.
10. Mrs. X, 60 year old, has presented with frequency, dysuria and urgency from 6 weeks.No history of leak during coughing or laughing.This is her first visit to hospital. What is the first line treatment?