<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 63-year-old woman visits her family physician because she has been experiencing difficulty to get her urine stream started in the past 8 months with many occasions needing extra effort to pass the urine. She describes the stream as intermittent and slow, and comments that she needs to go to the restroom again immediately after urinating. Her personal medical history is negative for malignancies, and all of her cytologies have been reported as normal. The only medication she takes is an angiotensin receptor blocker to treat essential hypertension diagnosed 5 years ago. Physical examination is unremarkable except for herniation of the anterior wall of the vagina that goes beyond the hymen. Which of the following types of incontinence is affecting the patient?? A: Stress incontinence, B: Urgency incontinence, C: Mixed incontinence, D: Overflow incontinence, E: Functional incontinence,  <response>: Based on the description in the question stem, the key findings are:- The patient is a 63-year-old woman- She has difficulty starting her urine stream and it is intermittent and slow- She needs to urinate again immediately after going to the bathroom- She has a history of hypertension treated with an ARB but no other medical conditions- She has pelvic organ prolapse on examThese symptoms of hesitancy, weak stream, and frequent urination suggest an obstructive component rather than stress incontinence. The post-void dribbling and pelvic organ prolapse also point away from stress incontinence as the cause. Urgency incontinence would not explain the weak stream. The symptoms are most consistent with overflow incontinence due to obstruction.D: Overflow incontinence 