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What is SUI?
Involuntary leakage of urine during physical activity, coughing, sneezing, or laughing due to weakened pelvic floor muscles or urethral support.
Stress Urinary Incontinence
Diagnosis
Detailed history and physical pelvic exam
Bladder diary and pad test
Urodynamic studies or cystoscopy (in complex cases)
Pelvic ultrasound to assess organ support
Treatment
Pelvic floor muscle training (Kegel exercises)
Bladder training and lifestyle modifications
Vaginal pessary for mechanical support
Surgical options: mid-urethral sling, urethral bulking agents
When to See a Doctor
Leaking urine with exertion
Avoiding activities due to fear of accidents
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