Leaking urine when you cough, sneeze, laugh, lift, or exercise is usually caused by stress urinary incontinence. In this condition, a sudden rise in pressure inside the abdomen pushes down on the bladder and urethra. If the pelvic floor support or urinary sphincter does not hold firmly enough, a small amount of urine may escape. Quick Answer Common cause: Stress urinary incontinence (SUI), where physical pressure overcomes the bladder outlet support. Not emotional stress: The word stress means physical pressure, not anxiety or mental stress. Common triggers: Coughing, sneezing, laughing, lifting, jumping, running, or exercising. Common risk factors: Pregnancy, childbirth, menopause, pelvic floor weakness, extra body weight, chronic cough, constipation, and prostate surgery in men. First steps: Pelvic floor exercises, the “Knack” technique, weight management when relevant, and treating chronic cough or constipation may help. ...
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