Q. A 45-year-old female presents to her physician’s office with a complaint of accidental leakage of urine when she sneezes, coughs, or exercises. She has noticed that these episodes have been occurring more frequently over the past year, and is now unable to participate in her usual physical activities due to embarrassment and fear of having an “accident”. The patient has a history of two vaginal deliveries and has gained 20 pounds over the past year. Physical examination reveals mild pelvic descent and mild stress incontinence on coughing. Which of the following is the most likely diagnosis?