A 58-year-old woman presented to the office complaining of urinary incontinence exacerbated by coughing and sneezing. The patient does not complain of dysuria, frequency, or urgency. She has had 5 vaginal deliveries. Physical examination shows anterior vaginal prolapse and vulvovaginal atrophy. The rest of the physical examination is normal. The patient is advised to do exercises to strengthen pelvic floor muscles. Which of the following muscles is the target of the exercise?

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. Kegel exercises are done to strengthen the levator ani muscles to increase the support of the pelvic floor.

A 58-Year-Old Woman Presented to the Office Complaining of Urinary