Reference no: EM133568949
Becca is a 49-year-old perimenopausal, Caucasian female who presents for an annual exam. She has been relatively healthy her entire life. She delivered 2 children in her late 20s. Her largest child was 9lbs 10oz and required forceps delivery. But otherwise, her pregnancies were uncomplicated. She exercises by jogging 4X per week. She quit smoking 10 years ago.
After completing your standard annual screening questionnaire, you notice she indicated bladder problems. She has been wearing pads for accidental leakage of urine for the past 5 years. At first, she only required a mini-pad once a day for the occasional cough or sneeze but she has begun to need larger pads and changes them more frequently. She describes leaking when she runs but sometimes she will develop a sudden urge and leak when she is just sitting at her desk typing.
PE: Normal appearing genitalia although when you ask her to strain a small amount of tissue bulges from the front wall of her vagina. She accidentally coughs at the same time and you notice a small amount of urine leak out of her urethra. Her bi-manual exam is also normal although she is unable to contract her pelvic floor muscles when asked.
1. Describe the appropriate pharmacological treatment for Becca.
2. What is the rationale, adverse reactions, and prescribing considerations.
3. Are there any non-pharmacological treatment options available?