Urinary incontinence & gout problem

I am an old lady of 60 years having six children. I am suffering from the GOUT disease since January 2005 its starts with sever pain in the right foot thumb joint and pain finishes after 6 to 8 weeks. Again the pain appears after six month from the same joint and disappears after 2 to 3 weeks. This process keeps on time to times. Then the pain came on the heel of the foot and then the knee joints and hands and finger joint and muscles whit the different treatment the pain disappears from the other joints except both knee joints. Especially in the right knee joint is more affected during walking different noises cames form the knee joints due to rubbing of joints bones I can not walk with out support
Report of Different Test
R.A FACTOR - Positive
ICT TUBERCULOSIS - Negative
Uric Acid - 4.0 mg/dl
ESR - 60
ANA - Negative
Glucose R - 95 mg/dl
Alkaline Phosphates - 148 u/l
CPK - 117 u/l
Calcium Serum - 8.6 mg /dl
C-REACTIVE ROTEIN TITER -12mg /l
IgM - Negative
IgG - Positive
Urea - 31
Billirubim - 0.5
Direct Bilirubim - 0.1
Alt SGPT - 24 u/l
Creatinine- 1.1 mg/dl
Hepatitis C Antibody -Non Reactive
Patient Value - 0.15
Hepatitis B Surface - Non Reactive
Patient Value- 0.33
TSH - 2.2 miu/ml
Urine Leakage Problem
2) Now I have a problem urine leakage since three years .Keeps on leaking all the times with out urine pressure . Lying on bed at night does not leakage except while coughing .urine keeps on leaking while seating with out pressure of urine .when I feel to go to the toilet urine start leaking while going toward toilet . I feel no pain while peeing.
Ultra Sound Report KUB+ PELVIS
Urinary Bladder: Phickal Walls Measuring 0.7 .No Stone and Growth Seen
Uterus: Size 6.0*3.1 No focal mass seen Normal enclumetoimn 0.2
Both Ovaries :- Are not visible due to gasses
Concertinas seen in both kidney.
Normal scan of pelvic seen . cystitis