Urinary incontinence is the unintentional loss of urine. It especially happens when your bladder leaks urine during physical activity or exertion. It might also additionally show up while you cough, sneeze, raise something heavy, change positions, or exercise. Causes Stress incontinence occurs when the muscle mass and different tissues that assist the urethra (pelvic ground muscle mass) and the muscle mass that manage the discharge of urine (urinary sphincter) weaken. The bladder and urethra are supported by the pelvic ground muscle mass. Urine flows out of your bladder through your urethra to the outside. The sphincter is a muscle around the opening of the bladder. It squeezes to save your urine from leaking through the urethra. The bladder expands because it fills with urine. Typically, valve-like muscle mass in the urethra — the short tube that carries urine out of your body — stays closed as the bladder expands, stopping urine leakage till you reach a bathroom. But when those muscle masses weaken, anything that exerts pressure on the belly and pelvic muscle mass — sneezing, bending over, lifting or laughing hard, for instance — can put a strain on your bladder and cause urine leakage. Your pelvic ground muscles and urinary sphincter might also additionally lose power due to the fact: Childbirth. In women, tissue or nerve harm at some point of shipping of a toddler can weaken the pelvic ground muscle mass or the sphincter. Stress incontinence from this harm might also additionally start quickly after shipping or arise years later. Prostate surgery. In men, the surgical elimination of the prostate gland to deal with prostate cancer (prostatectomy) is the maximum common thing main to strain incontinence. This manner can weaken the sphincter, which lies at once underneath the prostate gland and encircles the urethra. Contributing factors Other elements which can get worse strain incontinence include: Illnesses that purpose persistent coughing Obesity Smoking can purpose common coughing High-impact activities, such as strolling and jumping, over many years Symptoms If you have strain incontinence, you can leak urine while you: Cough or sneeze Laugh Bend over Lift something heavy Exercise Have sex You won’t leak urine whenever you do any such things. But, any pastime that places strain on your bladder could make involuntary urine loss extra likely, especially while your bladder is full. Treatment Strengthening the pelvic ground muscles with pelvic ground physical activities (PFE) or physiotherapy is very beneficial in treating both urge incontinence in addition to strain incontinence. Exercising the pelvic ground muscles strengthens them and improves bladder management.  Strengthening the pelvic ground muscle mass with pelvic ground physical activities (PFE) or physiotherapy may be very beneficial in treating each urge incontinence in addition to strain incontinence. Exercising the pelvic ground muscle mass strengthens them and improves bladder management. It is essential that the right muscle mass is diagnosed and strengthened. These are the identical muscle mass which is used to prevent the passage of wind or prevent the go with the drift of urine midstream (despite the fact that that is NOT endorsed to be performed regularly- handiest as a method to ensure that the right muscle mass is being contracted). Many humans have problems figuring out their pelvic ground muscles are they’re now no longer seen externally. This is in which a consultation with a pelvic floor or continence physiotherapist can enhance the pelvic floor contraction technique and develop an individualised programme. Two different sorts of physical activities strengthen the specific sorts of muscle fibres in the pelvic floor.