Urology: surgery for stress urinary incontinence: practice question

A General Surgery 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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General Surgery · Urology: surgery for stress urinary incontinence

Sample item

A 48-year-old woman leaks urine only on coughing and lifting. Urodynamics show urethral hypermobility with no detrusor overactivity, and pelvic floor exercises have failed. Which operation is most appropriate?

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

The answer and the reasoning

C. Mid-urethral synthetic tape sling

Stress incontinence from a weak urethral support is treated by a mid-urethral tape that supports the urethra during rises in abdominal pressure. Botulinum toxin, neuromodulation and augmentation cystoplasty are for refractory detrusor overactivity.

Option by option

  • A. Augmentation cystoplasty

    Augmentation cystoplasty enlarges a small overactive bladder and does not treat sphincter weakness.

  • B. Sacral nerve neuromodulation

    Neuromodulation treats urgency and retention, not stress leakage.

  • C. Mid-urethral synthetic tape sling (correct)

    Correct. A mid-urethral tape restores urethral support during effort.

  • D. Intradetrusor botulinum toxin injection

    Botulinum toxin treats detrusor overactivity by reducing contractions.

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 General Surgery question

What is the answer to this General Surgery question?

The best answer is C, Mid-urethral synthetic tape sling. Stress incontinence from a weak urethral support is treated by a mid-urethral tape that supports the urethra during rises in abdominal pressure.

Why is "Augmentation cystoplasty" not the answer?

Augmentation cystoplasty enlarges a small overactive bladder and does not treat sphincter weakness.

Why is "Sacral nerve neuromodulation" not the answer?

Neuromodulation treats urgency and retention, not stress leakage.

Why is "Intradetrusor botulinum toxin injection" not the answer?

Botulinum toxin treats detrusor overactivity by reducing contractions.

What concept does this question test?

It tests Urology: surgery for stress urinary incontinence in General Surgery. Botulinum toxin, neuromodulation and augmentation cystoplasty are for refractory detrusor overactivity.

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 Urology: surgery for stress urinary incontinence?

Learn classic signs and eponyms alongside what they diagnose. Then use the flashcards and the other General Surgery 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.