A 32-year-old female with a BMI of 38 presents with urinary incontinence. She reports that it often occurs when she coughs or laughs. What could be the potential cause, and what are the next steps?
This patient's symptoms are suggestive of stress urinary incontinence, a condition often associated with obesity due to increased pressure on the bladder and pelvic floor muscles. To confirm the diagnosis, a urodynamic study could be performed. Management includes weight loss, pelvic floor muscle exercises, and potentially surgical intervention if conservative measures fail.