ABOG Urogynecology And Reconstructive Pelvic Surgery Practice Questions - ABOG Urogynecology And Reconstructive Pelvic Surgery Subspecialty Certifying Examination Exam

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A 55-year-old woman has urgency urinary incontinence refractory to anticholinergics and mirabegron. Which 3rd-line therapy is FDA-approved for OAB?
Correct Answer:
Onabotulinumtoxin A 100 U intradetrusor injection via cystoscopy — 20 injections of 0.5 mL (5 U each) across bladder body, sparing trigone; duration ~6-9 months; main adverse effects UTI and urinary retention requiring CIC (~6-10%)

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