Q. A 54-year-old woman comes to the physician’s office for difficulty in emptying her bladder for the past 2 months. She complains of having a slow urine stream and needs to keep changing her position to void urine. She has an associated low back ache and fullness in her pelvis. She does not have a fever or burning micturition. She is worried that she has an upcoming international journey for a month and wants relief from her symptoms soon. She attained menopause at 49 years of age. She is not on any medication. Her temperature is 98.6°F (37°C), pulse is 90/min, blood pressure is 128/80 mmHg, and respirations are 14/min. Pelvic examination shows the descent of the anterior vaginal wall 2cm past the hymenal remnants What is the best next step in her management?

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