In relation to your symptoms, it is likely that you have a urinary incontinence. Consulting a urologist with physical examinations and diagnostic testing to establish the underlying cause is essential. According to the diagnosis, treatment can be conducted in form of medications, pelvic floor exercises or surgery.

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PUNLMP is an acronym for Papillary Urothelial Neoplasm of Low Malignant Potential. This is a non-cancerous growth in the bladder that, however, may become cancerous. The ideal next step to take is to follow your surgeon's recommendation for a cystoscopy in September. This procedure will aid in observing the bladder for any changes. This check-up is the first step in catching any problems that may arise early. Be mindful, that early discovery plays a significant role in the success of such situations. 

You might be having a genital inflammation or infection. It is crucial to see a urologist for a check-up and diagnosis.