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Women’s Health Case 2: Notes

Maddy is a 26 year old lawyer who presents to your clinic with concerns that she cannot properly control her ability to hold urine. She describes that she has always leaked little volumes of urine when laughing and sneezing, and avoids high impact exercise for this exact reason. More recently, her work life has become extremely stressful and she is struggling to cope. She expresses that she regularly gets a sudden compelling desire to urinate and must interrupt whatever she is doing in order to go to the toilet. She occasionally leaks as a result of not making it to the toilet in time. She empties her bladder 8-9 times daily, and has started to pre-emptively empty her bladder to prevent this urge.

PMHx:

  • BMI 30
  • Smoker 3 pack years
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