When coughing with urine leakage, the first clinical consideration is whether the patient has stress urinary incontinence. It is recommended to visit the urology department for a routine urinalysis to rule out the presence of a urinary tract infection. After ruling out a urinary tract infection, a urodynamic examination can be performed to confirm the diagnosis of stress urinary incontinence. Stress urinary incontinence, most often seen in middle-aged and older women, is due to relaxation of the pelvic floor muscles, and patients often experience urine leakage when coughing, sneezing, laughing, or exercising vigorously. Clinically, it is mainly treated by surgery, medication, and can also be relieved by functional exercises.1. Surgery: For the treatment of stress urinary incontinence, the most fundamental method, and the preferred method, is surgery. Usually minimally invasive surgery is used to take an incision of about 1cm in the anterior wall of the female vagina, place a sling that is more compatible with human tissue, and elevate the angle of the urethra by about 15-20 degrees, which can effectively combat urinary incontinence; 2, medication: in addition to surgical treatment with clear efficacy, medication can also be used. The most commonly used drugs are M-blockers, such as tolterodine, solifenacin; you can also choose Chinese medicine treatment, the efficacy is also very significant, more commonly used are retention tablets, Bazheng capsule, etc.; 3, functional exercise: patients can enhance the function of the pelvic floor muscle through functional exercise. The most common training action is the bridge exercise, which can effectively enhance the contraction ability of pelvic floor muscle and relieve the relaxation of pelvic floor muscle.