Stress Urinary Incontinence

occurs when the muscles and supporting tissues of the urethra and bladder become weakened

What is stress urinary incontinence?

Stress urinary incontinence occurs when the muscles and supporting tissues of the urethra and bladder become weakened, leading to urine leakage whenever abdominal pressure increases

Symptoms of stress urinary incontinence

The most common symptoms include:

Urine leakage during coughing or sneezing

Leakage while laughing or exercising

Urine loss during heavy lifting

The need to use protective pads

Causes and risk factors

Stress urinary incontinence may be associated with:

Pregnancy and vaginal childbirth

Menopause

Obesity

Chronic cough or constipation

Heavy physical exertion

How is it diagnosed?

Diagnosis is based on a detailed medical history, physical examination, and, when necessary, additional tests such as ultrasound or urodynamic studies

Treatment options

Treatment depends on the severity of symptoms and may include:

Pelvic floor muscle exercises

Pelvic floor physiotherapy

Lifestyle modifications

Pharmacological treatment in selected cases

Minimally invasive surgical treatment when conservative management is not sufficient

When should you see a doctor?

If you experience recurrent urine leakage during your daily activities, it is important to consult a specialist for proper evaluation and to determine the most appropriate treatment

Conclusion

Stress urinary incontinence is a common but treatable condition. Early diagnosis and an individualized treatment approach can significantly improve quality of life, restoring comfort, confidence, and the ability to enjoy everyday activities.

 

Literature

European Association of Urology (EAU). EAU Guidelines on Non-neurogenic Female Lower Urinary Tract Symptoms (2025).
https://uroweb.org/guidelines/non-neurogenic-female-luts

National Institute for Health and Care Excellence (NICE). Urinary Incontinence and Pelvic Organ Prolapse in Women: Management (NG123).
https://www.nice.org.uk/guidance/ng123