When the patient coughs, laughs, or even walks or runs, the urine will flow out involuntarily, which is called stress urinary incontinence, and is mostly seen in older women. Causes of stress urinary incontinence 1. Age. Age is an independent risk factor for female stress urinary incontinence. With age. Especially after menopause, estrogen levels decline. The urethra and surrounding pelvic floor tissue muscle atrophy. Loss of support function and cause female stress urinary incontinence. 2, reproductive factors. With the increase of pregnancy and childbirth, the frequency of stress urinary incontinence increases. This is related to the relaxation of the pelvic floor supportive tissues during pregnancy and childbirth, the pelvic floor is weak, and the normal anatomy of the urinary bladder is damaged. Especially after multiple pregnancies and deliveries the damage will be further strengthened. 3, life habits. Usual overfilling of the bladder, smoking, constipation, high-intensity physical activity is also easy to lead to female stress urinary incontinence. 4.Medical injury. Gynecological surgery. The pelvic floor support structure of the uterus and vagina is mainly composed of 3 levels: one is the upper support structure (the main ligament a uterosacral ligament complex): the second is the parietal support structure (the anorectal group of muscles and rectovaginal fascia); the third is the distal support structure, the perineum and sphincter. Postoperatively there is connective tissue damage on the parietal uterus on the one hand and on the sides above the vagina on the other. Loss of integrity of the ligamentum major and uterosacral ligament complexes, as well as female stress urinary incontinence due to weakness of the pelvic floor. On the other hand hysterectomy will affect ovarian blood flow. The resultant decrease in estrogen levels is also associated with female stress urinary incontinence. 5, Racial and genetic factors. Family history of urinary incontinence and family history of pelvic organ prolapse are more likely to suffer from female stress urinary incontinence. 6, other possible related factors: high blood pressure, obesity, lung disease, etc. are also related factors leading to female stress urinary incontinence. Treatment of stress urinary incontinence Severe stress urinary incontinence requires surgical treatment. Urology adopts transvaginal tension-free midurethral suspension with certain efficacy. For mild to moderate patients, conservative treatment with drugs can be taken. Commonly used drugs are midodrine hydrochloride, vitamin E and so on. Chinese medicine has a certain role in the treatment of this disease. There are mainly the following methods: 1, Chinese medicine orally: Chinese medicine believes that this disease is a deficiency of the spleen and kidney, the lower element is not solid. The treatment starts from tonifying the kidney, benefiting the qi and strengthening the yuan, and the commonly used prescriptions are tonifying the middle and benefiting the qi pill, cuttlebone powder, shrinking the spring pill, etc. The prescription is chosen according to the identification of the disease. According to the identification of the situation to choose. 2, acupuncture point buried thread treatment: choose kidney acupuncture point, bladder acupuncture point, Guanyuan, Qihai and other acupoints. Needle instead of thread, will be buried into the acupoints, micro Jo line as a specific protein, can induce the body to produce a metamorphic reaction to the acupoints, muscles, nerves and the center to produce a comprehensive effect. The thread is slowly softened, decomposed, liquefied and absorbed in the body, producing a soft and long-lasting stimulation to the acupoints for up to 15 days or even longer. Make the local blood circulation, lymphatic reflux accelerate, enhance the local metabolism, improve tissue nutrition, improve muscle tone, especially for the contraction of the transverse striated muscle has a very good stimulating effect. 3.Acupuncture and moxibustion treatment: according to the disease is mostly the mechanism of renal deficiency, the use of complementary method of acupuncture kidney acupoint, Guanyuan, Qihai, foot Sanli, Sanyinjiao, and supplemented with moxa moxibustion, to play a strong body, enhance the role of qi and blood circulation.