A 58-Year-Old Woman Presented to the Office Complaining of Urinary

A 58-year-old woman presented to the office complaining of urinary incontinence exacerbated by coughing and sneezing. The patient does not complain of dysuria, frequency, or urgency. She has had 5 vaginal deliveries. Physical examination shows anterior vaginal prolapse and vulvovaginal atrophy. The rest of the physical examination is normal. The patient is advised to do exercises to strengthen pelvic floor muscles. Which of the following muscles is the target of the exercise?

A) Bulbospongiosus muscle
B) Detrusor muscle
C) Internal urethral sphincter
D) Levator ani muscle complex
E) Uterosacral ligament

Correct Answer:

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