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PLAB03-104

Karen is 52 years old and sees the GP for a 5 month history of urinary incontinence which mainly occurs when she has sneezed or coughed. She denies any haematuria, dysuria or urgency symptoms. She has 2 children who were born via normal vaginal delivery. Systems review is unremarkable and abdominal and pelvic examination is also normal. Urine dipstick is negative.

Based on the most likely diagnosis, which one of the following options is least likely to form part of her future management of this condition?

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