Urinary Stress Incontinence

Question 1

What is the hallmark symptom of stress urinary incontinence?

Answer 1

Urine leakage with increased intra-abdominal pressure

Question 2

What activities commonly trigger stress urinary incontinence?

Answer 2

Coughing, sneezing, laughing, physical exertion

Question 3

Does stress incontinence involve urgency or nocturia?

Answer 3

No

Question 4

What is the primary cause of stress urinary incontinence?

Answer 4

Urethral hypermobility due to pelvic floor weakness

Question 5

What is a secondary cause of stress urinary incontinence?

Answer 5

Intrinsic sphincter deficiency

Question 6

What life events increase risk of SUI?

Answer 6

Childbirth, pelvic surgery

Question 7

What hormonal condition can lead to SUI in older women?

Answer 7

Estrogen deficiency in postmenopausal women

Question 8

What is the first-line treatment for SUI?

Answer 8

Pelvic floor muscle training (Kegel exercises)

Question 9

What non-surgical lifestyle changes help manage SUI?

Answer 9

Weight loss and smoking cessation

Question 10

What device can be used in women who decline surgery?

Answer 10

Pessary

Question 11

What topical treatment is used in postmenopausal women with SUI?

Answer 11

Topical estrogen

Question 12

What is the definitive treatment for SUI?

Answer 12

Midurethral sling surgery

Question 13

What type of test is used to observe leakage during coughing?

Answer 13

Bladder stress test

Question 14

What type of diary helps assess urinary patterns in SUI?

Answer 14

Voiding diary

Question 15

When is urodynamic testing indicated?

Answer 15

If initial diagnosis is unclear or surgery failed

Question 16

What symptom differentiates urge from stress incontinence?

Answer 16

Urgency is present in urge incontinence but absent in stress incontinence

Question 17

What complication may result from chronic urine leakage?

Answer 17

Skin irritation

Question 18

What infection is a risk in SUI due to incomplete emptying?

Answer 18

Recurrent urinary tract infections

Question 19

What is a common presentation of SUI in younger women?

Answer 19

Leakage with physical activity and no urgency

Question 20

What type of incontinence is most common in younger women?

Answer 20

Stress urinary incontinence

Question 21

What conservative treatment can be delayed during pregnancy or postpartum?

Answer 21

Surgery

Question 22

What is the NBS Tx for SUI after failed Kegels?

Answer 22

Midurethral sling surgery

Question 23

What is the NBS Tx in postmenopausal woman with vaginal atrophy and SUI?

Answer 23

Topical estrogen therapy

Question 24

What confirms the diagnosis of SUI clinically?

Answer 24

Patient history and bladder stress test

Question 25

What is the role of estrogen in treating SUI?

Answer 25

Restores vaginal epithelium in postmenopausal women

Question 26

What treatment improves SUI symptoms in obese women?

Answer 26

Weight loss

Question 27

Which test distinguishes between types of incontinence?

Answer 27

Urodynamic testing

Question 28

What surgical treatment supports the urethra mechanically?

Answer 28

Midurethral sling

Question 29

What condition is treated with pelvic floor exercises?

Answer 29

Stress urinary incontinence

Question 30

What treatment should be considered for women refusing surgery and wanting non-hormonal options?

Answer 30

Pessary

Question 31

What is the best initial management in a patient with SUI and no red flags?

Answer 31

Pelvic floor muscle training