28th July 2023

A 78 year old woman with severe COPD, frailty and essential hypertension presents to your clinic with episodes of urinary incontinence

A 78 year old woman with severe COPD, frailty and essential hypertension presents to your clinic with episodes of urinary incontinence, mainly when she coughs. She has 4 children; 3 were normal vaginal deliveries, and the last was an emergency c-section. Pelvic examination is unremarkable. She has been trialled on pelvic floor muscle training for 4 months with no improvement.

What is the next most appropriate step in her management?

Select the SINGLE most appropriate option from the list below. Select ONE option only.