Hi. During post menopausal period, oestrogens level go down leading to Mattel stenosis and altered vaginal flora and urinary infection. To rule out urinary infection. U need to get her urine routine and culture, which of present needs treatment with culture sensitive antibiotic. To rule out urethral stricture,u need to get uroflowmetry and ultrasound KUB. Uroflowmetry will show the pattern of flow of urine, which can be obstructive in case of stricture. Ultrasound will show any bank pressure effect on kidneys or post void residual urine or any stone disease. This might need cystoscopy and urethral dilation. Hysterectomy 7 years ago, may lead to put perineal support, may result in uterine prolapse, cystocele and stress and urge incontinence. But without examination, this can t be filled out. But then, in this case she will need to perform Kegel exercise regularly and take anticholinergics for 3 months at least. Evalon cream once daily application will help to reduce chances of stricture formation, prevent urinary infection.