Do you leak a bit of urine when you sneeze, laugh or lift something? This is called stress urinary incontinence (SUI) — and you don't have to live with the involuntary output. In the video above, Dr. Kathleen Kobashi, urologist at Houston Methodist, shares why SUI happens and how your care team can help.
It's an issue with a valve muscle
Like a leaky water faucet, the muscles controlling the valve within the urethra aren't quite tight enough to withstand the pressure of everyday movements.
It affects both women and men
About 25% of women over age 20 will experience SUI. It happens less often in younger men, but the prevalence for both genders increases with age.
Non-surgical treatments focus on strengthening the pelvic floor
Both women and men can benefit from physical therapy that targets the muscles that control urine flow. Kegel exercises are one example — a physical therapist can help ensure you're performing these correctly and effectively.
Safe surgical options are available
If more advanced treatments are needed, your doctor may recommend:
- Filler injection – Injects a synthetic material to plump up the urethral tissue just enough to cause a little tightening and stop the leaking
- Sling surgery – Attaches a mesh hammock that supports the urethra from below.
- Artificial urinary sphincter – Uses a silicone cuff around the urethra, controlled by a small pump
While surgery can be highly effective, the results aren't permanent — most people need to repeat the procedure as they age.
