In China, many middle-aged and older women encounter an embarrassing situation: whenever they cough or laugh at something happy, their pants get wet with just a little effort on their abdomen. These dripping embarrassments happen mostly to women after giving birth and in their older years. The medical term for this non-life-threatening leakage of urine that occurs only when coughing or laughing is stress urinary incontinence. Although urinary incontinence is not a fatal disease, it brings a lot of inconvenience to women’s lives and often causes great distress to patients. According to statistics, about 20% of postmenopausal women suffer from it. A. Why does female stress incontinence occur? Stress urinary incontinence is caused by factors such as birth injuries and menopause, resulting in muscle relaxation at the bottom of the pelvis, which reduces the ability of the urethra to control urine. Clinically, 80% of women with stress incontinence have varying degrees of bladder bulge and 50% have varying degrees of bladder bulge with stress incontinence. In women with normal pelvic floor support structures, when abdominal pressure increases, pressure is transmitted to the bladder and urethra in equal amounts and incontinence does not occur. When the abdominal pressure increases (such as when coughing, laughing, sneezing, or running), the pressure is transmitted only to the bladder and not to the urethra, which has shifted downward, and the pressure difference between the bladder and urethra causes urine to flow out involuntarily. There are three levels of stress incontinence: Mild: occurs when coughing and sneezing, with at least two episodes per week. Moderate: Occurs during daily activities such as walking quickly. Severe: Incontinence occurs in the standing position. Second, the risk factors for the onset of stress incontinence are related to age, gender, vaginal delivery, sleep, obesity, living alone, and lack of help. The prevalence is significantly higher in those who are older, have more vaginal deliveries, have vaginal instrumental deliveries, have newborns weighing more than 4000 grams, have mobility problems, live alone, and are obese. The onset of stress urinary incontinence tends to increase with age, and the onset groups are mainly middle-aged and older women with multiple births and postmenopause. Third, whether to see a doctor urinary incontinence, although a very troublesome disease, but in daily life does not seem to be too much attention. Many people believe that the body or physiological changes that occur, can not control urination, leakage of urine is considered normal, there is no need to see a doctor. Many female patients are influenced by economic culture and religious taboos and prefer to take self-care rather than seek help from a doctor. According to the survey, 2/3 of women find incontinence difficult to talk about, embarrassed to tell the doctor, preferring to change pants and use urine pads rather than go to the hospital. In fact, urinary incontinence is not a minor problem. Frequent urine loss and leakage in women may cause eczema, bed sores, skin infections and inflammation of the urinary system. And urinary incontinence causes bad feelings such as anxiety, embarrassment and frustration in women, which can also seriously affect their quality of life. Such as anxiety, anxiety, loss of confidence due to odor, but also affect the normal social activities with friends and family, and even affect sexual life. But for most women, after menopause, as women lose more estrogen, urinary incontinence will become more serious and not easy to control. The vast majority of patients with stress urinary incontinence can be completely cured or have their symptoms relieved after treatment. However, many patients do not receive proper treatment because they are ashamed to talk about it. Therefore, overcoming shyness and going to the hospital is the first step toward treatment. Generally speaking, urologists are specialists in the treatment of urinary incontinence. Patients with mild to moderate incontinence can be treated with medication and behavioral therapy, while behavioral exercises are given to improve the efficacy of medication and reduce symptoms. For patients with severe stress urinary incontinence, surgery is the main treatment, and there are a variety of surgical procedures available, commonly used are a variety of slings and suspension surgery. Patients with urinary incontinence should also promptly treat diseases that increase abdominal pressure, such as constipation, chronic cough and other diseases. 1, behavioral treatment 1, training treatment: