This is called stress urinary incontinence and is most common in women who have given birth multiple times, and is more common in older women. Due to the weakness of the pelvic floor caused by multiple births, one birth, or other reasons, urine flows out on its own when coughing, sneezing, talking loudly, or even standing up. This disease bothers many older women and they find it difficult to talk about it. So, how can this disease be treated? In fact, it can be solved with a minor surgery, such as bladder neck suspension, later midurethral suspension, and now the simplest and least side-effects, the tension-free midurethral suspension via closed hole. The procedure takes about 5-10 minutes.