Many middle-aged and elderly women are afraid to cough and sneeze in front of people, or laugh aloud, and some need to use sanitary pads when they go out. This is not to maintain decorum and dignity, nor cleanliness or eccentricity, but because “accidentally pee out” incontinence symptoms, so that middle-aged and elderly women embarrassed and embarrassed, and often caught off guard. Although urinary incontinence is not as life-threatening as gynecological malignancies, its impact on health and quality of life should not be underestimated. The most common type of clinical incontinence in women is stress urinary incontinence. Although the incidence of urinary incontinence is very common among the elderly, research shows that the incidence of urinary incontinence can be as high as 40% or more, but the general public believe that people are old enough to urinate pants is not a disease, so less than 1% of people really go to the hospital and receive treatment. Stress incontinence occurs because the muscles of the pelvic floor, fascia, nerves related to bladder function, and the sphincter of the bladder urethra are injured so that the pressure in the abdomen increases (such as when coughing, laughing, sneezing) and urine flows out of the urethra because it cannot be controlled. The causes of stress urinary incontinence include the destruction of pelvic floor support structures and relaxation due to factors such as childbirth and obesity; muscle relaxation or local nerve injury in the pelvic floor during pregnancy or after childbirth; and muscle relaxation in the pelvic floor due to low estrogen levels in women after menopause. Stress urinary incontinence is therefore more common in middle-aged and older women after 45 years of age during perimenopause and postmenopause, and rarely occurs in women of childbearing age. In mild cases, stress incontinence only occurs when coughing or sneezing; in moderate cases, it occurs when walking or standing up and other daily activities; in severe cases, it occurs anytime and anywhere, including lying down. Mild patients can improve their symptoms through pelvic floor exercises mainly by contraction, such as practicing pelvic floor muscle contraction (anal lifting exercise) 10 to 15 times each time, holding each contraction for 2 to 6 seconds, resting for the same amount of time, 3 to 8 times a day for more than 8 weeks or longer. Pregnant women should pay particular attention to postpartum recovery and avoid factors that cause increased intra-abdominal pressure, such as constipation and chronic cough, during the puerperium to prevent stress urinary incontinence. Mild and moderate patients can also be treated conservatively under the guidance of a doctor by taking alpha agonists, which act on the bladder neck and the beginning of the urethra to enhance urethral closure pressure; postmenopausal women can use topical estrogen ointment vaginally to improve the atrophy of the urethral mucosa. But from now on, the treatment of urinary incontinence abandoned the local symptomatic program of “what is lacking to make up for what is lacking” and adopted a holistic system view of repair-reconstruction-replacement of the pelvic floor to completely return the natural elastic pelvic floor structure to women. There are many organs, tissues, blood vessels and nerves in the pelvic cavity and pelvic floor, which are interconnected and interlocked. By simply removing the excess tissue and forcing the damaged fascia together, it seems that the pelvic floor is solid and firm, not knowing that the tighter it is, the faster and more serious it will collapse. At present, through local tissue repair, the reconstruction of new tissue architecture, the use of harmless synthetic materials to replace the original tissue of the surgical method, with elastic effect, solve the dual problems of female pelvic floor anatomical structure and physiological function, improve the cure rate and reduce the recurrence rate. Tension-free suspension of the mid-urethra is currently the gold standard procedure for the treatment of stress urinary incontinence, and is suitable for patients with moderate to severe cases or those who have failed other treatments, and the procedure is highly effective and minimally invasive. All women over the age of childbearing should recognize that urinary incontinence is a disease and can be cured. Patients should abandon the wrong view that “incontinence is a disgraceful and unspeakable thing” and should not have the idea that “it’s not a big deal if it’s not life-threatening” and that “if you can endure it, you can endure it”. This will only delay the time of treatment. In addition, clinicians should also pay attention to the treatment of the disease, which is equally important to improve the cure rate and help women improve their quality of life, because the attitude of the doctor largely affects the patient’s perception and view of the disease.