Coughing in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#11728
SMLE Question #11728
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 40-year-old multiparous woman has involuntary urine leakage for 1 year. She loses small amounts with coughing, laughing, and lifting but denies urgency, dysuria, or nocturnal incontinence. Cough stress test is positive in lithotomy position, and post-void residual is normal. She has completed childbearing and requests a definitive, highly effective treatment for her symptoms. What is the most appropriate recommendation?
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