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Urologic — Incontinence

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Case 1 of 4UrologicIncontinence (e.g., stress incontinence, urge incontinence)

A 60-year-old man comes to the clinic with a 6-month history of sudden urgency, frequency, and leakage of urine before he reaches the toilet about 3 times a day. He wakes 3 to 4 times each night to void. He drinks about 6 cups of coffee and several colas daily, for a total fluid intake of about 2.5 L. His only medication is metoprolol for hypertension, and he has no history of glaucoma, constipation, or cognitive concerns. Digital rectal examination shows a smooth, non-enlarged prostate, and the abdominal examination is normal. Urinalysis shows no leukocytes, nitrites, blood, or glucose, and the post-void residual volume is 40 mL.

Heart rate70/min
Respiratory rate14/min
Temperature36.8 °C
O2 saturation98%, room air
Blood pressure128/76 mm Hg

Question 1 of 12

Which of the following recommendations should be provided at this visit?

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