Stress Urinary Incontinence Treatment

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Leakage when coughing, sneezing, laughing, running, jumping, or lifting is common—but treatable.

Stress urinary incontinence occurs when pressure on the bladder temporarily exceeds the support provided by the urethra and pelvic floor. It can develop after pregnancy or childbirth, during menopause, with pelvic organ prolapse, after pelvic surgery, or as connective tissues and muscles change over time.

Common Symptoms

• Urine leakage with coughing, sneezing, or laughing
• Leakage during exercise, running, jumping, bending, or lifting
• Bladder leakage during intercourse
• Needing pads for physical activity
• Avoiding exercise or social activities because of leakage

How Stress Incontinence Is Evaluated

Dr. Bubucea reviews your symptoms, pregnancy and surgical history, and goals. Your assessment may include a pelvic-floor examination, cough stress test, urinalysis, post-void residual measurement, and additional bladder testing when clinically indicated.

Treatment Options

Pelvic Floor Therapy

Pelvic floor rehabilitation can improve strength, coordination, and urethral support. A professional assessment is useful because self-directed Kegel exercises are not appropriate for every pelvic-floor pattern.

Urethral Bulking

For selected women, a bulking agent can be placed around the urethra to improve closure and reduce leakage. Dr. Bubucea will explain expected benefits, limitations, and whether repeat treatment may be needed.

Midurethral Sling Surgery

A minimally invasive sling supports the urethra during activities that increase abdominal pressure. It may be considered when symptoms are bothersome and conservative treatment is insufficient. The decision follows a detailed discussion of alternatives, risks, recovery, and personal goals.

What Should I Expect at the Visit?

You can bring a medication list and notes about when leakage occurs. A short bladder diary may also help. The first appointment focuses on identifying the type of leakage and choosing an individualized plan—not assuming that every patient needs surgery.

Learn more about minimally invasive incontinence surgery, preparation, and recovery.