28th July 2023

You see a 73 year old woman with a background of dyslipidemia and insulin dependent diabetes in the outpatient clinic.

You see a 73 year old woman with a background of dyslipidemia and insulin dependent diabetes in the outpatient clinic. She has been experiencing urinary incontinence for the past 4 months. It occurs without warning and happens directly after she coughs or laughs. She reports drinking 1 coffee/day, denies alcohol intake, has a BMI of 24 and is nulliparous. She declines a vaginal examination. The urine dip is negative, and the blood tests are unremarkable.

How would you manage this patient?

Select the SINGLE most appropriate option from the list below. Select ONE option only.