Problem:
A 65 y/o woman has urinary incontinence for 6 months when she coughs or sneezes. She lives at home and is active. Medical history includes allergic rhinitis and GERD. She is taking ASA, loratadine, and omeprazole and drinks 1 cup of caffeinated tea in the morning. The patient denies dysuria, hematuria, abdominal pain, fever, or chills. Her physical examination is normal except for the leakage of urine during the cough stress test. She does not have cognitive impairment.
1.) What is the most likely diagnose?
2.) How will you work this patient up (diagnostic tests etc)?
3.) What is the next step in therapy?