Which of the following is NOT a first-line conservative therapy for overactive bladder?

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The main idea here is what counts as first-line conservative management for overactive bladder. These noninvasive, lifestyle- and behavior-focused strategies aim to reduce urgency and frequency without medications or procedures. Strengthening the pelvic floor with targeted exercises helps support the bladder and urethra, which can lessen leakage and urgency. Biofeedback is a tool to ensure those pelvic floor exercises are performed correctly, improving their effectiveness. Diet and fluid changes—like cutting back caffeine and alcohol and moderating fluid intake—help reduce bladder irritability and daytime frequency. Sacral neuromodulation, by contrast, is an implanted device that alters nerve signals to the bladder. It’s used after trying conservative measures (and often medications) have not provided adequate relief, so it isn’t considered first-line.