60-year-old Postmenopausal in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#1228
SMLE Question #1228
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 60-year-old postmenopausal woman has had two symptomatic urinary tract infections in the past 6 months. She reports a vaginal bulge and a sensation of incomplete bladder emptying, sometimes needing to change position to finish voiding. Pelvic examination shows a moderate anterior vaginal wall prolapse. She has no prior urogynecologic surgery and no known neurologic disease. What is the most appropriate next investigation to evaluate voiding dysfunction and possible urinary retention?
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