This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Genital Prolapse - various presentation of prolapse and management of urinary stress incontinence (I am hanging by my nails !), Subject name: Gynaecology & Obstetrics
[{'content': 'A 59-year-old woman undergoes vaginal hysterectomy and anteroposterior repair for uterine prolapse. Which of the following is a complication of this procedure that often develops within 2 weeks of surgery? \nSelect and explain. \nA. Dyspareunia, B. Stress urinary incontinence, C. Enterocele, D. Vaginal vault prolapse', 'role': 'user'}, {'content': 'Answer: B \nExplanation: Stress urinary incontinence More common in elderly women associated with cystocele and genital prolapse Urethral hypermotility -On intra abdominal pressure (by coughing, straining)- Leak of urine from urethra -SUI Risk factor Age - older menopausal women d/t estrogen deficiency leads to pelvic muscle tone down Multiparous women - prone to loss of tone of the pelvic floor M/S Obesity,smoking,prolapse & constipation Pregnancy', 'role': 'assistant'}]