Type 2 Diabetes Mellitus in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#12025
SMLE Question #12025
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 62-year-old postmenopausal woman with type 2 diabetes mellitus and congestive heart failure reports several months of urine leakage with coughing and sneezing. She also notes lower abdominal heaviness and a vaginal bulge that worsens with prolonged standing. She is considered high risk for major surgery due to cardiac comorbidity. Pelvic examination shows stage II uterine prolapse with anterior vaginal wall descent. A cough stress test in lithotomy position produces a small amount of leakage. What is the most appropriate management at this time?
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