A 67-Year-Old Woman Presented to the Office Complaining of Urinary

A 67-year-old woman presented to the office complaining of urinary urgency. For the past 6 months, the patient has had urinary urgency associated with increased straining during urination. In addition, she has had multiple urinary tract infections that have been treated well. She has 5 children, all of whom were delivered via vaginal delivery. BMI is 35 kg/m2. On examination, a bulge is shown in the vaginal introitus during straining. The perineal sensation is intact. Urinalysis has no significant abnormalities. Which of the following is the cause of this patient's presentation?

A) Damage in the external urethral sphincter.
B) Hyperactivity of detrusor muscle
C) Hypoactivity of the detrusor muscle
D) Damage to Levator ani muscle complex

Correct Answer:

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