28th July 2023

You review an 84 year old woman who has been suffering from frequent episodes of urinary incontinence over the last 2 months.

You review an 84 year old woman who has been suffering from frequent episodes of urinary incontinence over the last 2 months. It occurs mainly when she suddenly needs to go to the toilet. On systems review, you note that she has had 3 falls in the last year and sustained a recent left neck of femur fracture. Her examination is unremarkable, and her urine dip is negative. She has been trialled on bladder retraining for 8 weeks with no improvement. She is starting to get frustrated as it impacts her quality of life, and she wants to try other alternatives.

What is your next step in management?

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