If you are a woman and have the following characteristics, you should be alert, stress incontinence is probably creeping up on you – data show that older women, more deliveries, newborns weighing more than 4 kg, mobility disorders, difficulty sleeping, widowhood and obesity are more likely to suffer from urinary incontinence. Once you have this disease, you must actively treat it, and don’t think you can get through it by putting up with it. The cost of delayed treatment is often great mental and physical pain. Ms. Yang, 44 years old, has three children and works as a farmer in a family. She has an easy-going, brisk personality, good relations with her neighbors, and her cheerful laughter can often be heard in the fields, but in the past 10 years there is a trouble constantly bothering her, as long as she laughs, urine will involuntarily leak out, especially when there is a cold, as long as the cough has to change underwear, and now, the development of daily need to use multiple urine pads to live normally, making it unbearable. After examination, Ms. Yang had “stress urinary incontinence”. The so-called stress incontinence refers to involuntary incontinence in the urethra when the abdominal pressure increases (such as: coughing, laughing, lifting heavy objects, walking quickly or going up stairs), without the contraction of the bladder forcing muscle, the abdominal pressure is transmitted to the bladder so that the pressure in the bladder increases. Its main pathogenesis is insufficiency of the bladder neck and the supporting tissues around the urethra. Stress incontinence can be divided into three degrees according to the severity of incontinence, namely mild: general activity and nocturnal incontinence, occasional incontinence when the abdominal pressure increases, without the need to wear a pad; moderate: frequent incontinence when the abdominal pressure increases and rising activities, the need to wear a pad to live; severe: incontinence when rising activities or lying position changes, seriously affecting life and social activities. As the severity of symptoms varies, so do the treatment methods. Lack of active treatment awareness Data show that the incidence of stress incontinence in women over 60 years of age is about 30%-70%, and nearly 20% of professional women experience stress incontinence once a month. But in stark contrast to the incidence is the very low rate of consultation. In addition to the lack of awareness of the disease and the shyness of patients, the lack of consultation is also related to the paralysis of some patients, who regard it as a natural phenomenon and neglect to pay attention to it. In fact, severe stress urinary incontinence not only affects the patient’s life, hygiene, social life and work, but also increases mental anguish and pain. Due to frequent incontinence, patients are often reluctant to approach others or participate in social activities, and are afraid to sit in other people’s beds and chairs for fear of ridicule, further increasing the mental burden. Therefore, some people will incontinence called “social cancer”. In addition, urinary incontinence can also cause vulvar skin infections, urinary tract infections and even kidney function damage, a direct threat to human health. There are more misconceptions about 1. There is nothing you can do about incontinence. In fact, there is much to do about incontinence, through behavioral training, assistive devices, drugs or surgery, can make most incontinent people incontinence symptoms significantly improved, or even cured; 2. Incontinence is a natural phenomenon that occurs with age. In fact, urinary incontinence is an abnormal phenomenon in adults, and the changes in the lower urinary tract associated with aging make it more likely to occur in older patients; 3. The only successful treatment for urinary incontinence is surgery. In fact, the vast majority of patients can be cured by non-surgical means; 4. Incontinence is inevitable in women who give birth. The fact that a vaginal delivery may result in damage to or decreased tone of the pelvic floor muscles is not inevitable. Purposeful exercise can prevent or improve incontinence symptoms; 5. Occasional small leaks, such as when sneezing or coughing, are okay and do not warrant a hospital visit. In fact, having urine leakage indicates that something is not normal in the organism and warrants a hospital visit to improve the symptoms of leakage and improve quality of life, even if it does not completely resolve the primary condition. Treatment options vary from person to person If left untreated, patients with stress urinary incontinence can enter a vicious cycle of incontinence – restricted activity – intellectual decline – aggravated incontinence. The immediate consequence is eventual disengagement from society and total dependence on the care of others, thus increasing the financial burden on society and the family. Today, a significant proportion of patients with mild to moderate urinary incontinence can be detected early and treated simply and conservatively with a number of diagnostic methods. Treatment for stress urinary incontinence includes both non-surgical methods and surgery. The non-surgical approach is more appropriate for younger women, or those with mild incontinence after activity. This treatment consists mainly of behavioral therapy, physical therapy, pelvic floor muscle exercises, functional electrical stimulation and medication. For patients with moderate to severe incontinence, a surgical approach is more appropriate. In conclusion, incontinence means that some part of the body is not functioning properly. Therefore, it is important to be aware of incontinence and to do a good job of prevention and treatment and health care in order to make the life of the patient worry-free and dry.