(A) non-surgical treatment 1, weight control: obesity is a clear risk factor for female stress incontinence, reducing weight can improve the symptoms of urinary incontinence; 2, pelvic floor muscle training: through autonomous, repeated contraction and diastole of the pelvic floor muscle groups, enhance pelvic floor muscle tone, increase urethral resistance, to achieve the purpose of prevention and treatment of urinary incontinence. This method is simple, easy to perform, effective and applicable to all types of stress incontinence. It is necessary to make the pelvic floor muscles reach a considerable amount of training to be effective. 3, biofeedback: with the help of electronic biofeedback therapy device placed in the vagina or rectum, monitor the myoelectric activity of the pelvic floor muscles and convert this information into visual and auditory signals to feedback to the patient, guiding the patient to carry out correct and autonomous pelvic floor muscle training and form a conditioned reflex. Compared with simple pelvic floor muscle training, biofeedback is more intuitive and easy to grasp, and the short-term efficacy is better than simple pelvic floor muscle training. 4.Medication: Increase the contraction force of urethra, improve the function of urethral closure and reduce urinary leakage. Commonly used drugs: duloxetine, Midodrine hydrochloride, estrogen (local vaginal medication). Drug therapy is effective within 4 weeks and should be maintained for at least 3 months. (B) Surgery When conservative treatment or drug therapy is unsatisfactory, surgery should be considered. The main indications for surgical treatment of stress urinary incontinence include: 1. Patients in whom non-surgical treatment cannot be adhered to or is not effective. 2.Patients with moderate to severe stress urinary incontinence, which seriously affects the quality of life. 3.Patients with high quality of life requirements. 4.Patients with pelvic organ prolapse who need pelvic floor reconstruction. Note to patients before surgery: 1.Stress incontinence itself only affects the quality of life of patients and is not fatal. 2.Urinary flow rate and residual urine measurement should be performed before surgery to assess bladder and urethral function; urodynamic examination should be performed if necessary to avoid poor surgical efficacy due to bladder-urethral dysfunction. 3, generally according to the principle of good efficacy, less complications and low cost of surgery to choose the surgical method; under the same conditions, try to choose the less invasive operation. 4, post-operative adherence to pelvic floor muscle training and maintenance of body shape is very important. At present, the main surgical methods for the treatment of stress urinary incontinence are tension-free suspension of the mid-pubic urethra (TVT) and tension-free suspension of the mid-pubic urethra through the closed hole (TVT-O). Both procedures are minimally invasive and have the following advantages: short operation time (within 1 hour), small trauma, less intraoperative bleeding and fewer complications; generally, you can go to the ground the day after surgery, with an average hospital stay of 3-5 days; the immediate and long-term incontinence symptom relief rate after surgery is more than 90%, with remarkable efficacy. Recently, through the introduction of talents and advanced technology, our department has successfully carried out single-incision anti-stress incontinence surgery, including TVT-S and Ajust, based on the above-mentioned procedures. 2011-2014, the author successfully performed more than 100 cases of single-incision sling surgery, with skilled and experienced techniques, and the remission rate of postoperative incontinence is as high as 95%. In particular, the Ajust procedure is currently the leading one in China, making the surgical treatment more minimally invasive and more effective.