Benign gynaecology: urinary incontinence: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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OBG · Benign gynaecology: urinary incontinence

Sample item

A woman leaks urine on coughing and sneezing, with a negative urgency history. What is the surgical treatment of choice if conservative management fails?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Mid-urethral sling (TVT or TOT)

Stress urinary incontinence from urethral hypermobility or sphincter weakness is treated first by pelvic floor exercises and then by a mid-urethral tape. Urgency incontinence (detrusor overactivity) is treated with anticholinergics or beta-3 agonists.

Option by option

  • A. Mid-urethral sling (TVT or TOT) (correct)

    Correct. Mid-urethral slings are the standard surgery.

  • B. Anticholinergic drugs

    Anticholinergics treat urgency incontinence.

  • C. Botulinum toxin in the detrusor

    Botulinum toxin treats refractory urgency.

  • D. Bladder catheterisation

    Catheterisation does not treat stress incontinence.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this OBG question

What is the answer to this OBG question?

The best answer is A, Mid-urethral sling (TVT or TOT). Stress urinary incontinence from urethral hypermobility or sphincter weakness is treated first by pelvic floor exercises and then by a mid-urethral tape.

Why is "Anticholinergic drugs" not the answer?

Anticholinergics treat urgency incontinence.

Why is "Botulinum toxin in the detrusor" not the answer?

Botulinum toxin treats refractory urgency.

Why is "Bladder catheterisation" not the answer?

Catheterisation does not treat stress incontinence.

What concept does this question test?

It tests Benign gynaecology: urinary incontinence in OBG. Urgency incontinence (detrusor overactivity) is treated with anticholinergics or beta-3 agonists.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Benign gynaecology: urinary incontinence?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.