29th April 2024

A 55-year-old woman presents with a complaint of involuntary loss of urine when she coughs or exercises.

A 55-year-old woman presents with a complaint of involuntary loss of urine when she coughs or exercises. She reports that this issue has been progressively worsening over the past year. She has a past medical history of two vaginal deliveries and no significant surgical history. She denies any urgency or pain associated with urination. Her physical examination, including a pelvic exam, is unremarkable.

Which is the most likely diagnosis?