Coughing and leaking urine is mostly considered to be stress incontinence. Stress urinary incontinence is when abdominal pressure suddenly increases, such as coughing, laughing, sneezing, etc., urination is out of control and urine spills out randomly. Stress urinary incontinence is mostly seen in middle-aged and elderly women, women because of the short urethra, after multiple deliveries can lead to birth canal damage, pelvic floor muscle relaxation, the ability of urethral support decreases, coughing will increase the abdominal pressure, there is leakage of urine, the formation of stress urinary incontinence. If a man has had surgery or suffered trauma, resulting in sphincter dysfunction, it can also cause coughing to leak urine and form urinary incontinence. Mild and moderate urinary incontinence can be improved by doing more anal exercises and pelvic floor muscle training exercises to improve the pelvic floor muscle contraction ability and improve stress incontinence. If it is more serious, surgical treatment is needed, such as mid-urethral sling surgery. Some diseases may also cause coughing and urinary leakage, such as urinary tract infection or cystitis, etc., which should be timely treatment of the primary disease, usually drink more hot water to promote urination, the infected disease and bacteria quickly out of the body, if the persistence of non-relief, it is recommended to seek early medical treatment to avoid adverse consequences.