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A 65 years old multiparous female presents with pain in the lower abdomen and lower back while standing and walking since last 4 years. She is 10 years post menopause and had 3 vaginal deliveries. She is on HRT since last 4 years because of the postmenopausal symptoms. She has urinary frequency and has to get up at night to urinate. She feels a bulge in the vaginal area. She does not have dysuria or haematuria. She reports some loss of urine on coughing and sneezing.
According to above condition i make the diagnosis: "Uterine prolapse with stress incontinence". now please help me in the following questions related to this condition
b. How does this condition develop elaborate your answer diagrammatically?
c. What is the differential diagnosis?
d. Develop management guidelines for this patient? (All these 3 answers according to uterine prolapse with stress incontinence)
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