system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 52-year-old woman presents with involuntary passage of urine and occasional watery vaginal discharge. She associates the onset of these symptoms with her discharge from the hospital for an abdominal hysterectomy and bilateral salpingo-oophorectomy for endometrial carcinoma and a left ovary cyst 2 months ago. The incontinence occurs during both day and night and is not related to physical exertion. She denies urgency, incomplete voiding, painful urination, or any other genitourinary symptoms. She is currently on hormone replacement therapy. Her vital signs are as follows: blood pressure, 120/80 mm Hg; heart rate, 77/min; respiratory rate, 13/min; and temperature, 36.6℃ (97.9℉). On physical examination, there is no costovertebral or suprapubic tenderness. The surgical scar is normal in appearance. The gynecologic examination revealed a small opening in the upper portion of the anterior wall of the vagina. No discharge was noted. How would you confirm the diagnosis?
assistant
Voiding cystourethrography