Genitourinary Interventions (Incontinence)
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About this listen
Mila reports a sudden, intense urge to urinate followed by leakage before reaching the bathroom. The patient voids frequently throughout the day and wakes multiple times at night to urinate. Pelvic floor strength is 4/5, and there is no leakage with coughing or sneezing. Which of the following interventions is MOST appropriate for the treatment of this patient?
A) Pelvic floor strengthening with maximal sustained holds
B) Bladder retraining with scheduled voiding intervals
C) Abdominal strengthening to increase intra-abdominal support
D) Fluid restriction throughout the day to reduce urgency
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