Boots WebMD Partners in Health
Return To Boots
Urinary Incontinence health centre
This content is selected and controlled by BootsWebMD's editorial staff and is supported by Always.
Select a topic to explore more.
Select An Article

Stress incontinence

Stress incontinence means some urine leaks out when you don't want it to when the bladder and urethra are under pressure. The leakage can be triggered by simple things like coughing, sneezing, laughing or lifting something heavy.

The leakage may be anything from a dribble to a full stream of wee.

Stress incontinence is one of the most common types of incontinence in women but can also affect men.

What causes stress incontinence?

Causes of stress incontinence include:

  • The sphincter muscle that controls the urine flow at the neck of the bladder may not always be strong enough to hold back the flow
  • Weak pelvic floor muscles that don't support the bladder well
  • Pregnancy, with extra pressure on the bladder
  • Nerve damage during labour
  • Menopause
  • Past operations, including C-section or hysterectomy in women and prostate operations in men
  • Being obese or overweight
  • Multiple sclerosis (MS), Parkinson's disease and other neurological conditions
  • Ehlers-Danlos syndrome and connective tissue conditions
  • Family history of urinary incontinence
  • Being older
  • Urinary tract infections (UTIs)
  • Some medications, including diuretics (water tablets) that increase urine production.


Seek medical advice for stress incontinence. A doctor will make a diagnosis based on the symptoms, medical history and a physical examination. Urine tests will usually be arranged to check for urinary tract infections.

A referral may be made to a specialist or continence nurse or clinic.

How is stress incontinence treated?

Stress incontinence symptoms may be helped with:

  • Pelvic floor exercises, to strengthen the muscles supporting the bladder to help reduce leakages.
  • Absorbent pads to trap any leaks.

Medical treatments include:

  • Medication: Duloxetine tablets may be recommended for women with stress incontinence if pelvic floor exercises haven’t helped.
  • Bulking agent injections thicken the wall of the urethra to help it stay closed.

Surgical treatments include:

  • Colposuspension: This surgical procedure lifts the neck of the bladder
  • Tape procedure: Special tape is used in a surgical procedure to better support the urethra
  • Sling procedure: This surgical procedure involves fitting a special sling to better support the neck of the bladder
  • Artificial urinary sphincters: A fluid-filled cuff is implanted around the urethra in a surgical procedure and this artificial sphincter can be opened or closed manually when the man or woman needs to wee.
Next Article:

WebMD Medical Reference

Medically Reviewed by Dr Rob Hicks on October 06, 2016

Popular slideshows & tools on BootsWebMD

How to help headache pain
man in mirror
How smoking affects your looks & life
boost your metabolism
Foods to lower LDL (bad) cholesterol
man holding sore neck
Could you have a hormone imbalance?
woman looking at pregnancy test
Is your body ready for pregnancy?
woman holding mouth
Common mouth problems
couple makigh salad
Nutrition for over 50s
bucket with cleaning supplies in it
Cleaning and organising tips
adult man contemplating
When illness makes it hard to eat
Allergy myths and facts
egg in cup
Surprising things that can harm your liver