Coughing to hold urine is called stress urinary incontinence, which is a condition in which there is a decrease in urethral closure pressure, and involuntary overflow of urine can occur under the effect of increased abdominal pressure. It is most often seen in women after multiple childbirths or in older women with relaxed pelvic floor muscle function, resulting in a downward shift of the bladder urethra, causing a decrease in urethral closure pressure, which can lead to coughing and inability to hold urine. The inability to hold urine can also be seen with laughing, loud talking, or strenuous abdominal activity. Urodynamic testing, urethroscopy, and a combination of the patient’s symptoms are needed to further confirm the diagnosis. If stress urinary incontinence is diagnosed, a variety of methods such as pelvic floor functional exercises and midurethral suspension surgery can be performed to restore normal closure pressure to the urethra so that the coughing inability to hold urine can be improved. It can also be seen in various patients with chronic urinary retention, where the inability to manage urine occurs due to the retention of large amounts of urine in the bladder, the high intra-vesical pressure itself, and the violent increase in abdominal pressure during coughing, which can result in a transient increase in bladder pressure that exceeds the urethral closure pressure. It is mostly seen in men in the later stages of prostate hyperplasia, when urinary retention occurs.