A 52-Year-Old Woman Presented to the Office Complaining of Urinary

A 52-year-old woman presented to the office complaining of urinary incontinence when sneezing or coughing. Recently, urinary leakage has been more severe with minimal activity. The patient does not complain of weakness, sensory deficits, or fecal incontinence. She has a free past medical and surgical history. She is married and has 5 children. Physical examination shows leakage of urine with coughing. She does not have any findings from the neurological examination. Which of the following is the most likely cause of her condition?

A) Detrusor muscle inactivity
B) Detrusor muscle overactivity
C) Diabetic autonomic neuropathy
D) Small frontal lobe infarct
E) Urethral obstruction from a tumor
F) Urethral sphincter dysfunction

Correct Answer:

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