{"id":2883,"date":"2021-04-16T08:00:00","date_gmt":"2021-04-16T01:00:00","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=2883"},"modified":"2026-05-18T09:58:04","modified_gmt":"2026-05-18T02:58:04","slug":"%eb%b3%b5%ec%95%95%ec%84%b1-%ec%9a%94%ec%8b%a4%ea%b8%88","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/ko\/2021\/04\/16\/stress-incontinence-urinary\/","title":{"rendered":"\ubcf5\uc555\uc131 \uc694\uc2e4\uae08: \ub2f9\ud669\uc2a4\ub7ec\uc6b4 \uc99d\uc0c1"},"content":{"rendered":"\n<div class=\"wp-block-columns coblocks-author-columns has-background is-layout-flex wp-container-core-columns-is-layout-a7ac2865 wp-block-columns-is-layout-flex\" style=\"background-color:#8C8C971A;padding-top:2.5rem;padding-right:2.5rem;padding-bottom:2.5rem;padding-left:2.5rem\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<figure class=\"wp-block-image size-full is-style-rounded\"><img data-recalc-dims=\"1\" 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Bangkok, Thailand&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=800%2C800&#038;ssl=1\" alt=\"Best Urologist working in Chonburi and Cambodia\" class=\"wp-image-7037\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?w=800&amp;ssl=1 800w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=768%2C768&amp;ssl=1 768w, 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.05.727 7.946 7.946 0 0 0 .077.53h.001c.024.115.06.262.112.438.243.743.65 1.303 1.213 1.68.565.376 1.255.564 2.073.564.8 0 1.536-.213 2.105-.603.57-.39.94-.916 1.175-1.65.076-.235.135-.558.177-.93a15.4 15.4 0 0 0 .063-1.207v-.512a.27.27 0 0 0-.273-.273h-2.95a.27.27 0 0 0-.274.273v.785c0 .228.0.343.273.343h1.337c.094 0 .14.045.14.137 0 .61-.063 1.043-.155 1.318-.182.546-.7 1.018-1.683 1.018-.654 0-1.135-.114-1.475-.356-.34-.244-.55-.585-.658-1.024a3.797 3.797 0 0 1-.111-.43 5.515 5.515 0 0 1-.06-.51 19.85 19.85 0 0 1-.025-.726c-.004-.28-.004-.628-.004-1.045 0-.418 0-.766.004-1.046a19.85 19.85 0 0 1 .025-.726 5.475 5.475 0 0 1 .06-.51 3.785 3.785 0 0 1 .111-.43c.108-.44.318-.78.658-1.024.34-.243.82-.357 1.475-.357.6 0 1.064.078 1.413.293.347.215.595.515.74.91.063.155.166.21.31.156l.967-.4c.15-.058.187-.18.13-.32a3.025 3.025 0 0 0-1.262-1.452C21.12.218 20.428.0 19.586 0zM8.512 4.32c-2.7 0-4.066.997-4.066 3.06v.04c0 1.92.992 2.83 3.046 2.83 1.27 0 2.038-.39 2.385-1.05h.13l.067.51c.04.2.207.34.41.34h.99V7.95c0-2.59-1.06-3.63-2.962-3.63zm-.18 1.61c1.118 0 1.628.56 1.628 1.86v.4l-1.65.16c-1.35.13-1.86.46-1.86 1.13v.04c0 .67.41 1.06 1.45 1.06.85 0 1.55-.32 1.93-.84.04-.06.13-.07.18-.02.05.03.07.1.07.16v.43c0 .26.13.42.34.42h1.05c.21 0 .34-.16.34-.42v-3.6c0-1.94-1.13-2.83-3.46-2.83-1.94 0-3.07.86-3.4 2.04l1.55.45c.18-.69.6-1.04 1.83-1.04zM2.135 16.314c-.587 0-1.066-.156-1.434-.469-.367-.312-.618-.704-.752-1.176-.034-.124-.061-.232-.082-.327a3.794 3.794 0 0 1-.044-.366 8.83 8.83 0 0 1-.022-.547C0 13.221 0 12.985 0 12.704c0-.281 0-.515.001-.704a8.81 8.81 0 0 1 .022-.547 3.802 3.802 0 0 1 .044-.366c.02-.094.048-.203.082-.328.134-.471.385-.864.752-1.176.368-.313.847-.469 1.434-.469.477 0 .892.087 1.246.262.353.175.622.443.806.804.044.083.083.157.117.222.034.066.069.144.105.235.022.054.011.099-.034.135l-.66.292c-.045.027-.082.013-.112-.045a4.043 4.043 0 0 0-.155-.27 1.247 1.247 0 0 0-.49-.495c-.225-.131-.522-.196-.892-.196-.402 0-.726.064-.972.193-.247.13-.422.302-.527.518-.027.045-.054.099-.082.16a1.39 1.39 0 0 0-.067.197 2.46 2.46 0 0 0-.05.282 5.51 5.51 0 0 0-.033.43c-.008.17-.013.376-.013.617 0 .242.005.448.013.618.008.17.02.314.034.43.013.117.03.21.05.282.02.072.042.137.066.197.105.216.28.39.527.518.246.13.57.193.972.193.4 0 .714-.07.94-.21.227-.14.394-.346.503-.617a2.43 2.43 0 0 0 .104-.395c.018-.123.027-.282.027-.477V13.2H2.34c-.04 0-.06-.02-.06-.062v-.5c0-.04.02-.062.06-.062h1.812c.04 0 .062.02.062.06v.5c0 .156-.005.296-.014.422a4.71 4.71 0 0 1-.04.342 1.732 1.732 0 0 1-.064.262c-.13.523-.402.913-.815 1.17-.413.255-.95.382-1.61.382z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/orcid.org\/0009-0004-8387-3559\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"ORCID iD\"\n     aria-label=\"View ORCID Profile\"\n     style=\"text-decoration: none; color: #A6CE39; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M12 0C5.372 0 0 5.372 0 12s5.372 12 12 12 12-5.372 12-12S18.628 0 12 0zM7.369 4.378c.525 0 .947.431.947.947 0 .525-.422.947-.947.947-.525 0-.946-.422-.946-.947 0-.525.421-.947.946-.947zm-.722 3.038h1.444v10.041H6.647V7.416zm3.562 0h3.9c3.712 0 5.344 2.653 5.344 5.025 0 2.578-2.016 5.025-5.325 5.025h-3.919V7.416zm1.444 1.303v7.444h2.297c3.272 0 4.022-2.484 4.022-3.722 0-2.016-1.284-3.722-4.097-3.722h-2.222z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/scholar.google.com\/citations?user=lTgsRMUAAAAJ&#038;hl=en\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"Google Scholar\"\n     aria-label=\"View Google Scholar Profile\"\n     style=\"text-decoration: none; color: #4285F4; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M5.242 13.769L0.5 9.5 12 1l11.5 8.5-4.742 4.269C17.548 11.249 14.978 9.5 12 9.5c-2.977 0-5.548 1.748-6.758 4.269zM12 10a7 7 0 1 0 0 14 7 7 0 0 0 0-14z\"\/>\n    <\/svg>\n  <\/a>\n  \n<\/div>\n\n\n\n<p>Stress urinary incontinence (SUI) is involuntary urine loss that occurs with activities that increase intra-abdominal pressure. SUI severely impacts quality of life, causing embarrassment and reduced social confidence. It is reported in approximately 15% of adult women, yet only about 60% of affected women seek medical treatment.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Urology center Bangkok hospital Thailand\u00a0<a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Booking online<\/a>\u00a0<a href=\"tel:02-310-3009\">02-310-3009<\/a>\u00a0<a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a><\/li>\n\n\n\n<li>Samitivej Sriracha hospital Chonburi&nbsp;<a href=\"tel:088-022-1445\">088-022-1445<\/a><\/li>\n<\/ul>\n\n\n\n<p>Patients typically report leakage triggered by: coughing, laughing, sneezing, or physical straining such as exercise or lifting heavy objects.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"450\" data-attachment-id=\"2890\" data-permalink=\"https:\/\/drsoaraweeurology.com\/ko\/2021\/04\/16\/stress-incontinence-urinary\/cough\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Cough.jpg?fit=1200%2C675&amp;ssl=1\" data-orig-size=\"1200,675\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;6.3&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;Canon EOS 5D Mark III&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;1582306103&quot;,&quot;copyright&quot;:&quot;Freepik.com&quot;,&quot;focal_length&quot;:&quot;50&quot;,&quot;iso&quot;:&quot;100&quot;,&quot;shutter_speed&quot;:&quot;0.00625&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Urine leakage during coughing is a classical sign of stress incontience.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Urine leakage during coughing is a classical sign of stress incontience.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Cough.jpg?fit=800%2C450&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Cough.jpg?resize=800%2C450&#038;ssl=1\" alt=\"Stress urinary incontinence coughing\" class=\"wp-image-2890\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Cough.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Cough.jpg?resize=300%2C169&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Cough.jpg?resize=1024%2C576&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Cough.jpg?resize=768%2C432&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Cough.jpg?resize=16%2C9&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Urine leakage during coughing is a classical presentation of stress urinary incontinence.<\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"699\" data-attachment-id=\"2891\" data-permalink=\"https:\/\/drsoaraweeurology.com\/ko\/2021\/04\/16\/stress-incontinence-urinary\/man-with-boxes\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Lifting-object.jpg?fit=1200%2C1048&amp;ssl=1\" data-orig-size=\"1200,1048\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;8&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;Canon EOS 5D Mark II&quot;,&quot;caption&quot;:&quot;man with boxes&quot;,&quot;created_timestamp&quot;:&quot;1415729770&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;50&quot;,&quot;iso&quot;:&quot;100&quot;,&quot;shutter_speed&quot;:&quot;0.00625&quot;,&quot;title&quot;:&quot;man with boxes&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Lifting a heavy object can precipitate urine leakage.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Lifting a heavy object can precipitate urine leakage.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Lifting-object.jpg?fit=800%2C698&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Lifting-object.jpg?resize=800%2C699&#038;ssl=1\" alt=\"Stress incontinence lifting\" class=\"wp-image-2891\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Lifting-object.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Lifting-object.jpg?resize=300%2C262&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Lifting-object.jpg?resize=1024%2C894&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Lifting-object.jpg?resize=768%2C671&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Lifting-object.jpg?resize=14%2C12&amp;ssl=1 14w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Heavy lifting that increases abdominal pressure can precipitate stress incontinence leakage.<\/figcaption><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\">The 2 major causes of <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK539769\/\">Stress Urinary Incontinence<\/a><\/h4>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Pelvic floor muscle dysfunction<\/strong> \u2014 The pelvic floor muscles play a central role in the continence mechanism. Any condition that weakens or damages these muscles can cause SUI:\n\n<ul class=\"wp-block-list\">\n<li><strong>Obesity<\/strong> \u2014 the pelvic floor must support all intra-abdominal contents; excess abdominal fat increases the load and accelerates pelvic floor dysfunction<\/li>\n\n\n<li><strong>Menopause<\/strong> \u2014 estrogen nourishes the urethral blood supply and mucosa; estrogen deficiency reduces continence function of the urethra<\/li>\n\n\n<li><strong>History of pregnancy<\/strong> \u2014 pregnancy increases the load on the pelvic floor; multiple pregnancies progressively increase SUI risk<\/li>\n\n\n<li><strong>Pelvic floor trauma from vaginal delivery<\/strong> \u2014 the baby passing through the pelvic canal causes inevitable pelvic floor trauma, particularly when a perineal tear occurs<\/li>\n\n\n<li><strong>Chronic cough and constipation<\/strong> \u2014 repeated chronic increases in intra-abdominal pressure accelerate pelvic floor degeneration<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"2894\" data-permalink=\"https:\/\/drsoaraweeurology.com\/ko\/2021\/04\/16\/stress-incontinence-urinary\/obese-boy-who-is-overweight-on-a-pink-background\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Obesity.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;8&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;Canon EOS 5D Mark III&quot;,&quot;caption&quot;:&quot;Obese boy who is overweight on a pink background.&quot;,&quot;created_timestamp&quot;:&quot;1554759101&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;50&quot;,&quot;iso&quot;:&quot;100&quot;,&quot;shutter_speed&quot;:&quot;0.01&quot;,&quot;title&quot;:&quot;Obese boy who is overweight on a pink background.&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"More in abdominal fat will possibly lead to\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;More in abdominal fat will possibly lead to&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Obesity.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Obesity.jpg?resize=800%2C533&#038;ssl=1\" alt=\"Obesity stress urinary incontinence\" class=\"wp-image-2894\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Obesity.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Obesity.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Obesity.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Obesity.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Obesity.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Excess abdominal weight increases pelvic floor load and accelerates dysfunction leading to SUI.<\/figcaption><\/figure>\n\n\n\n<ol class=\"wp-block-list\" start=\"2\">\n<li><strong>Pelvic floor neuromuscular damage from prior pelvic surgery<\/strong> \u2014 major intra-abdominal surgeries, such as radical prostatectomy for prostate cancer, can disrupt the continence mechanism, resulting in post-operative SUI<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"2892\" data-permalink=\"https:\/\/drsoaraweeurology.com\/ko\/2021\/04\/16\/stress-incontinence-urinary\/rear-view-of-surgeons-preparing-for-operation-in-operation-room\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Major-operation.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;rear view of surgeons preparing for operation in operation room at the hospital&quot;,&quot;created_timestamp&quot;:&quot;1470109069&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;Rear view of surgeons preparing for operation in operation room&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Major intraabdominal surgeries can be resulted in postoperative SUI.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Major intraabdominal surgeries can be resulted in postoperative SUI.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Major-operation.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Major-operation.jpg?resize=800%2C533&#038;ssl=1\" alt=\"Major surgery stress incontinence\" class=\"wp-image-2892\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Major-operation.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Major-operation.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Major-operation.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Major-operation.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Major-operation.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Major pelvic surgery such as radical prostatectomy can result in post-operative stress urinary incontinence.<\/figcaption><\/figure>\n\n\n\n<p>Evaluation includes a full history, physical examination, and appropriate laboratory and imaging tests to confirm the SUI diagnosis. Treatment is individualized \u2014 a step-by-step approach is developed in discussion with the patient based on severity, lifestyle, and personal goals.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Treatment options for Stress Urinary Incontinence<\/h4>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Behavioral (first-line):<\/strong>\n\n<ul class=\"wp-block-list\">\n<li>Kegel exercises \u2014 3 sets of 10 contractions held for 10 seconds, performed 3 times daily<\/li>\n\n\n<li>Timed voiding schedule<\/li>\n\n\n<li>Pessaries \u2014 recommended when intravaginal anatomical distortion is found on examination<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"2895\" data-permalink=\"https:\/\/drsoaraweeurology.com\/ko\/2021\/04\/16\/stress-incontinence-urinary\/happy-woman-doing-pelvic-muscle-exercise-on-mat\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Pelvic-floor-exercise.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;1.4&quot;,&quot;credit&quot;:&quot;Alexey Tulenkov&quot;,&quot;camera&quot;:&quot;Canon EOS 5D Mark II&quot;,&quot;caption&quot;:&quot;Portrait of happy young Caucasian woman wearing sportswear doing pelvic muscle exercise lying on mat and smiling in gym&quot;,&quot;created_timestamp&quot;:&quot;1402250947&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;50&quot;,&quot;iso&quot;:&quot;400&quot;,&quot;shutter_speed&quot;:&quot;0.005&quot;,&quot;title&quot;:&quot;Happy woman doing pelvic muscle exercise on mat&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Pelvic floor exercise can improve SUI symptom.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Pelvic floor exercise can improve SUI symptom.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Pelvic-floor-exercise.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Pelvic-floor-exercise.jpg?resize=800%2C533&#038;ssl=1\" alt=\"Pelvic floor exercise Kegel stress incontinence\" class=\"wp-image-2895\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Pelvic-floor-exercise.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Pelvic-floor-exercise.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Pelvic-floor-exercise.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Pelvic-floor-exercise.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Pelvic-floor-exercise.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Regular pelvic floor (Kegel) exercises are a proven first-line treatment for improving SUI symptoms.<\/figcaption><\/figure>\n\n\n\n<ol class=\"wp-block-list\" start=\"2\">\n<li><strong>Medications (second-line):<\/strong>\n\n<ul class=\"wp-block-list\">\n<li>Anticholinergic agents \u2014 reduce bladder overactivity component<\/li>\n\n\n<li>Antidepressants (duloxetine) \u2014 enhance urethral sphincter contraction and closure pressure<\/li>\n\n\n<li>Topical estrogen cream \u2014 nourishes urethral mucosa to improve continence function in postmenopausal women<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"534\" data-attachment-id=\"2893\" data-permalink=\"https:\/\/drsoaraweeurology.com\/ko\/2021\/04\/16\/stress-incontinence-urinary\/womans-hand-pours-the-medicine-pills-out-of-the-bottle\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Medication.jpg?fit=1200%2C801&amp;ssl=1\" data-orig-size=\"1200,801\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;5.6&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;NIKON D600&quot;,&quot;caption&quot;:&quot;Woman&#039;s hand pours the medicine pills out of the bottle&quot;,&quot;created_timestamp&quot;:&quot;1557129619&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;60&quot;,&quot;iso&quot;:&quot;250&quot;,&quot;shutter_speed&quot;:&quot;0.008&quot;,&quot;title&quot;:&quot;Woman&#039;s hand pours the medicine pills out of the bottle&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Trial of anti-incontinence tablet might be a good try.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Trial of anti-incontinence tablet might be a good try.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Medication.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Medication.jpg?resize=800%2C534&#038;ssl=1\" alt=\"Medication stress urinary incontinence\" class=\"wp-image-2893\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Medication.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Medication.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Medication.jpg?resize=1024%2C684&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Medication.jpg?resize=768%2C513&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/04\/Medication.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Oral medications may provide benefit as an adjunct to pelvic floor training in SUI management.<\/figcaption><\/figure>\n\n\n\n<ol class=\"wp-block-list\" start=\"3\">\n<li><strong>Surgical interventions (definitive):<\/strong>\n\n<ul class=\"wp-block-list\">\n<li>Urethral bulking agent injection \u2014 less invasive, suitable for selected patients<\/li>\n\n\n<li>Mid-urethral sling (MUS) procedure \u2014 gold standard surgical treatment for female SUI with high long-term success rates<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently Asked Questions About Stress Urinary Incontinence<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">What causes stress urinary incontinence?<\/h3>\n\n\n\n<p>SUI is caused by weakness or damage to the pelvic floor muscles and urethral sphincter, which normally keep the urethra closed during pressure increases. The two major causes are: (1) pelvic floor muscle dysfunction \u2014 from obesity, menopause, pregnancy, vaginal delivery trauma, or chronic cough\/constipation; and (2) neuromuscular damage from prior pelvic surgery \u2014 particularly radical prostatectomy in men or major gynecological procedures in women. Any factor that weakens the continence mechanism allows urine to escape when abdominal pressure rises.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Do Kegel exercises really help stress incontinence?<\/h3>\n\n\n\n<p>Yes \u2014 Kegel exercises are the most important first-line treatment for SUI. When performed correctly and consistently (3 sets of 10 contractions held for 10 seconds, three times daily), they strengthen the pelvic floor muscles that support the urethra. Many patients with mild to moderate SUI achieve significant improvement or full continence with dedicated Kegel training alone, without needing medications or surgery. Results typically become noticeable after 6\u201312 weeks of consistent practice. A physiotherapist or pelvic floor specialist can confirm correct technique.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">When should surgery be considered for stress incontinence?<\/h3>\n\n\n\n<p>Surgery is recommended when behavioral therapy and medications have not provided adequate symptom control, or when the patient&#8217;s SUI is severe enough to significantly affect daily life and relationships. The mid-urethral sling (MUS) procedure is the gold standard surgical treatment for female SUI, offering high success rates and minimal recovery time. For patients who prefer a less invasive option, urethral bulking agent injections provide an intermediate step. All surgical decisions are made collaboratively \u2014 the urologist and patient discuss the degree of bother, expectations, and risk tolerance before proceeding.<\/p>\n\n\n\n<p>If you are experiencing stress urinary incontinence and would like specialist evaluation, Dr. Soarawee Weerasopone offers specialist consultations at Bangkok Hospital Headquarters. <a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\">Book a Consultation<\/a>.<\/p>\n\n\n\n<p><strong>Disclaimer:<\/strong> This content is written and reviewed by Dr. Soarawee Weerasopone, a board-certified urologist at Bangkok Hospital Headquarters. It is intended for educational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional before starting any medical treatment.<\/p>\n\n\n\n<script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@type\": \"FAQPage\",\n  \"mainEntity\": [\n    {\n      \"@type\": \"Question\",\n      \"name\": \"What causes stress urinary incontinence?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"SUI has 2 major causes: (1) Pelvic floor dysfunction \u2014 obesity, menopause (estrogen loss), pregnancy, vaginal delivery trauma, chronic cough\/constipation. (2) Neuromuscular damage from pelvic surgery \u2014 especially radical prostatectomy. Any factor weakening the continence mechanism causes leakage during pressure increases.\"\n      }\n    },\n    {\n      \"@type\": \"Question\",\n      \"name\": \"Do Kegel exercises really help stress incontinence?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"Yes. Kegels are the most important first-line treatment. Correct technique: 3 sets of 10 contractions held 10 seconds, 3x\/day. Results noticeable after 6-12 weeks. Many mild-moderate cases improve or resolve without surgery. A physio can confirm correct technique.\"\n      }\n    },\n    {\n      \"@type\": \"Question\",\n      \"name\": \"When should surgery be considered for stress incontinence?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"When behavioral therapy and medications are inadequate, or SUI severely impacts daily life. Gold standard: mid-urethral sling (MUS) with high success rates. Less invasive option: urethral bulking agent injection. Decision made collaboratively based on severity, expectations, and risk tolerance.\"\n      }\n    }\n  ]\n}\n<\/script>\n","protected":false},"excerpt":{"rendered":"<p>Stress urinary incontinence (SUI) is involuntary urine loss that occurs with activities that increase intra-abdominal pressure. SUI severely impacts quality of life, causing embarrassment and reduced social confidence. It is reported in approximately 15% of adult women, yet only about 60% of affected women seek medical treatment. Patients typically report leakage triggered by: coughing, laughing, [&hellip;]<\/p>\n","protected":false},"author":185281453,"featured_media":10100,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"Stress urinary incontinence (SUI): 2 major causes, risk factors including pregnancy and menopause, and treatment from Kegel exercises to mid-urethral sling surgery. 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