A 52-year-old woman presented to the office complaining of urinary incontinence when sneezing or coughing. Recently, urinary leakage has been more severe with minimal activity. The patient does not complain of weakness, sensory deficits, or fecal incontinence. She has a free past medical and surgical history. She is married and has 5 children. Physical examination shows leakage of urine with coughing. She does not have any findings from the neurological examination. Which of the following is the most likely cause of her condition?

Question

Quizplus · Accepted Answer

Eductional Objective: Loss of pelvic floor muscles support and the urethral sphincter dysfunction leads to stress urinary incontinence. Stress incontinence is manifested in the states of increased abdominal pressures ( like coughing and sneezing) more than the pressure within the urethral sphincter leading to involuntary urine loss.

A 52-Year-Old Woman Presented to the Office Complaining of Urinary