The incidence of urinary incontinence is very common among middle-aged and elderly people, research surveys show that the incidence of urinary incontinence can be as high as 40% or more, but the general public think that people are old enough to pee in their pants is not a disease, so less than 1% of the people who really go to the hospital to see a doctor and receive treatment. Female urinary incontinence to stress urinary incontinence (SUI) is the most common, is engaged in increasing abdominal pressure activities, such as coughing, sneezing, weight lifting, or physical labor, the urine unconscious overflow. SUI incidence rate of 9.1-18.5%, respectively, the incidence of SUI in elderly women up to 29%. Many middle-aged and elderly female friends in front of people do not dare to cough and sneeze, but also do not dare to laugh aloud, and there is a need to go out with sanitary pads, so that middle-aged and elderly women embarrassed and embarrassed. First, the causes of stress incontinence Stress incontinence occurs because the muscles of the pelvic floor, fascia, nerves related to bladder function, the bladder urethral sphincter injury so that in the abdominal pressure increases (such as coughing, laughing, sneezing) can not be controlled and cause the urine out of the urethra. Causes include childbirth, obesity and other factors that cause the pelvic floor support structure to be damaged and relaxed; muscle relaxation or local nerve injury to the pelvic floor during pregnancy or after childbirth; low estrogen levels in women after menopause that cause the pelvic floor muscles to relax. Therefore, stress urinary incontinence is most common in perimenopausal and postmenopausal middle-aged and older women after the age of 45, with a few occurring in women of childbearing age. Many cases of stress incontinence are accompanied by pelvic organ prolapse, including bladder prolapse, uterine prolapse, rectal prolapse and so on. Second, the treatment of stress urinary incontinence Mild stress urinary incontinence only leaks urine when coughing and sneezing; when it reaches a moderate degree, walking, standing up and other daily life will leak urine; severe will leak urine anytime and anywhere, including lying down. Mild patients can improve their symptoms through pelvic floor exercises that focus on contracting the anus, such as practicing pelvic floor muscle contractions (anal lifting exercises) 10 to 15 times each time, holding the contraction for 2 to 6 seconds each time, resting for the same amount of time, and doing so 3 to 8 times a day for more than 8 weeks or longer. Pregnant women should pay particular attention to postpartum recovery, avoiding constipation, chronic coughing, and other factors that lead to increased intra-abdominal pressure during the puerperium to prevent stress incontinence. Mild, moderate patients can also be used under the guidance of the doctor’s conservative treatment, taking alpha agonists, the drug can act on the bladder neck and the beginning of the urethra, enhance the urethral closure pressure; postmenopausal women can vaginal local use of estrogen ointment, improve the atrophy of the urethral mucosa. Third, the modern surgical treatment of stress urinary incontinence The overall theory of modern pelvic floor function puts forward a scientific explanation of stress urinary incontinence, the urethra in the middle of the fascia, ligaments of the support role of the decline is the root cause of stress urinary incontinence. Therefore, completely restoring the natural elastic pelvic floor structure of women is the key to treatment. The modern holistic theory of the pelvic floor suggests that there are numerous organs, tissues, blood vessels and nerves in the pelvic cavity and pelvic floor that are interrelated and constrained by each other. The method of only removing the excess tissue and then forcibly suturing the damaged fascia is actually repairing the damaged fascia with the damaged fascia, which is very ineffective and has a high recurrence rate. At present, through the local tissue repair, reconstruction of new tissue architecture, with no harm to the human body synthetic materials to replace the original tissue of the surgical method, with elastic effect, to solve the female pelvic floor anatomical structure and physiological function of the double problem, improve the cure rate, reduce the recurrence rate. Fourth, urinary incontinence is a disease that can be easily treated Given the scientific explanation of the modern theory of stress incontinence. Mid-urethral tension-free suspension is currently the international gold standard procedure for the treatment of stress urinary incontinence, applicable to moderate to severe patients or patients who have failed other treatments, the surgery has good efficacy, minimally invasive, and can be discharged from the hospital within three days after the surgery. All women above reproductive age should recognize that incontinence is a disease and can be easily cured. Patients should abandon the misconception that urinary incontinence is a shameful scandal that cannot be disclosed, and should not harbor the idea that it is no big deal if it is not life-threatening, and that “if you can endure it, you can endure it”. This will only delay treatment. In addition, clinicians should also pay attention to the treatment of this disease, which is equally important for improving the cure rate and helping women to improve their quality of life, because the attitude of doctors will largely affect the patients’ understanding and perception of the disease.