A member asked:

What is stress urinary incontinence?

12 doctors weighed in across 6 answers

Yes: Stress urinary incontinence is caused by relaxation of the pelvic floor muscles usually due to stretching during childbirth in women. It is rare to nonexistant in males. It is best initially managed using kegel exercises which can be reviewed on the internet.

Answered 5/16/2016

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Leak w/pressure: Stress incontinence is due to a combination of weak ligaments and weak pelvic muscles. Commonly associated w/weakness caused by vaginal childbirth but can occur in women who've not given birth. The most common treatments are kegels or pelvic muscle exercise. Muscles can be too weak to exercise on your own; pelvic floor pt is the best method. Minimally invasive surgery can restore ligament support.

Answered 9/28/2016

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Leakage with pressur: If you leak when you cough or sneeze, but not when you lie down at night, you probably have sui. See your gynecologist to discuss things in your diet and exercises that you might do to improve this. Caffeine aggravates the problem. Kegels often help and making sure you empty your bladder frequently there are also a variety of procedures if this does not work and your problem warrants therapy.

Answered 9/28/2016

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Dr. Jerome Yaklic answered

Specializes in Obstetrics and Gynecology

Leaking w/strain: Stress urinary incontinence (sui) is the involuntary loss of urine resulting from an increase in abdominal pressure (such as bearing down, cough, sneeze, laugh, or exercise). It is usually small in volume. It is typically caused in part by poor support (hypermobility) of the urethra and bladder neck often as a result of childbirth.

Answered 9/28/2016

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Dr. Betsy Greenleaf answered

Specializes in Gynecology

Stress Incontinence: Stress incontinence: leaking urine with activity, cough, sneeze. It occurs because of a weakness to the ligaments supporting the urethra. Currently there are many treatment options. Follow up with a gynecologist, urogynecologist or urologist to discuss.

Answered 12/29/2016

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Dr. Robert Harris answered

Specializes in Urogynecology

SUI: Stress incontinence occurs when your urethra is weak and urine flows from the bladder involuntarily, especially when you cough, sneeze, or exercise. Strengthening the muscles in your vagina can improve symptoms.

Answered 2/7/2015

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