Coughing to hold in urine may be caused by stress urinary incontinence, chronic urinary retention, or other diseases such as ascites and chronic bronchitis. Stress incontinence refers to a condition in which there is an increase in abdominal pressure and involuntary overflow of urine after sneezing, coughing, laughing, lifting heavy objects or intense exercise. Stress urinary incontinence is most common in elderly women as well as postpartum women. Elderly patients can’t hold their urine due to functional relaxation of the pelvic floor muscles and a decrease in the pressure of the urethra closure. In contrast, postpartum women have increased bladder neck mobility due to the uterus pushing up on the bladder, which causes urine leakage. In addition to stress incontinence, patients with chronic urinary retention have symptoms of not being able to hold their urine after coughing due to a large amount of urine in the bladder and relatively high intravesical pressure, while coughing increases abdominal pressure and may cause further increase in bladder pressure. Chronic diseases such as chronic bronchitis, massive ascites, constipation, etc., can also increase the abdominal pressure for a long time, destroying the elasticity of the pelvic floor muscles, and may also leak urine after coughing. Patients are advised to seek timely medical treatment for appropriate examination and timely treatment under the guidance of the doctor to avoid the impact on daily life.