Stressinkontinens

Stressinkontinens, also known as stress urinary incontinence, is a common form of urinary leakage that occurs when physical activity or exertion, such as coughing, sneezing, laughing, or exercising, puts pressure on the bladder and causes urine to escape involuntarily. The condition is primarily caused by weakened pelvic floor muscles or connective tissue, which normally support the bladder and urethra. Women are especially affected, often after childbirth or due to hormonal changes during pregnancy and menopause, but men can also develop stressinkontinens, typically following prostate surgery or due to age‑related muscle weakening.

Diagnosis is usually made through a medical history review, physical examination, and sometimes bladder diaries or urodynamic testing to confirm the type and severity of leakage. Treatment options range from conservative measures—such as pelvic floor muscle training (Kegel exercises), weight loss, and lifestyle modifications—to medical devices like pessaries or urethral bulking agents. Surgical interventions, including urethropexy or sling procedures, are considered when conservative approaches fail or the leakage is severe.

The impact of stressinkontinens on quality of life can be significant, affecting social activities, emotional well‑being, and physical health. However, timely intervention and a tailored treatment plan can greatly reduce symptoms and improve patient outcomes. Continuous research is exploring minimally invasive therapies and novel approaches to strengthen pelvic support tissues.