need your opinion for the management!

spoter ? pt. have also complaints leak of urine while coughing, standing, seating dx ?

identify the instrument and mention it's uses. also discuss other modalities of management.

This is a image of 7 year old girl having hairs at lumbar region weighing 12 kg but all her vitals R normal,girl is fully active.She was born with her twin sister who died at the time of delivery.Her mother before conceiving got paraplegia & when she become 4 the month pregnant she came to know about her pregnancy.She was taking some medications before that for paraplegia which I don't know.Is this hairy growth due to some medicines? Parents R concerned about weight of child which is very less.Any investigations reqd and Dx and Rx pls.

A 24-year-old female presented with complaint of passing urine without the sensation of bladder fullness & menuria since last LSCS done 8 months back. Patient had previous 2 LSCS. The patient had a history of bladder injury during 2nd LSCS & urinary catheter had been kept for 21 days. History of leakage of blood-stained urine from the side of the bag. Conservative management was not successful. Urine was sent for routine microscopy & culture sensitivity which show presence of E.Coli. CT and Cystoscopy posted. Need your valuable opinion.

64 year male patient having incontinence of Urine since 4 month complain start with urine drop by drop. now bed wetting at night only k/c/o - DM - recently detected since 1 month H/o - working in diamond factory, patient having sedentary life. h/o - operated right ball of hip joint two times patient has unable to walk USG - Right mild hydronephrosis and Hydroureter, Neurogenic Baldder No back pain MRI L S Spine :- -- degenerative changes in whole spine -- At L5 - S1 level diffuse disc bulge causing complete spinal canal stenosis History given by Patient Relative advice homoeopathic treatment???