Position Statement on Mesh Midurethral Slings for Stress Urinary Incontinence. The polypropylene mesh midurethral sling is the recognized worldwide standard of care for the surgical treatment of stress urinary incontinence. The procedure is safe, effective, and has improved the quality of life for millions of women.. Introduction. The purpose of this position statement by the American Urogynecologic Society (AUGS) and the Society of Urodynamics, Female Pelvic Medicine and Urogenital Reconstruction (SUFU) is to support the use of the midurethral sling in the surgical management of stress urinary incontinence, the type of urine leakage generally associated with coughing, laughing and sneezing.. Developed in the early 1990s, midurethral slings (MUS) treat stress urinary incontinence (SUI) in a minimally invasive, generally outpatient procedure. This technique utilizes a small mesh strip composed of monofilament polypropylene placed through the vagina under the mid-urethra exiting from 2 small ...
Stress Urinary Incontinence. Stress Incontinence. Stress Urinary Incontinence (SUI) is a when a woman leaks urine with physical activity such as laughing, coughing, or exercising. Female stress urinary incontinence is caused by an improperly functioning urethra, or bladder neck. Normally the urethra should provide a tight seal to prevent embarrassing and unexpected leakage of urine. When there is loss of support to the muscles and ligaments that support the urethra urine funnels down into the bladder next and will escape as pressure is exerted on the bladder - such as when a woman is coughing, sneezing, or laughing. Stress incontinence involves the leakage of urine during exercise, coughing, sneezing, laughing, lifting heavy objects, or other body movements that put pressure on the bladder. It is one of the most common types of incontinence, particularly in women. Symptoms of Stress Urinary Incontinence-. Women with stress urinary incontinence experience leakage of a small to moderate amount of ...
Search and download thousands of Swedish university dissertations (essays). Full text. Free. Dissertation: Evaluation of surgical methods for treatment of female stress urinary incontinence.
The AUA led an effort in concert with the American Congress of Obstetricians and Gynecologists (ACOG) to develop stress urinary incontinence (SUI) measures based on the AUAs Guideline for Surgical Management of Female Stress Urinary Incontinence: 2009 Update and other available evidence.
Surgical Mesh for Stress Urinary Incontinence (also known as Sling Surgery). A fact sheet for health care providers explaining Stress Urinary Incontinence (SUI), its treatments and mid-urethral mesh slings as a standard treatment for SUI.
The overall purpose of this research is to determine the effect of ultrasound imaging biofeedback on urine leakage, pelvic floor muscle contractions, and quality of life in women with stress urinary incontinence. This study will include women 20 years or older with stress urinary incontinence.. The study will involve 2 groups: pelvic floor muscle (PFM) exercises with biofeedback using transabdominal Rehabilitative ultrasound imaging (RUSI) (Group A) and PFM exercises alone (Group B). The participants will perform 16 exercise sessions over a period of 8 weeks. Group A will perform 3 pelvic floor exercises using the transabdominal RUSI to provide biofeedback. Group B will perform the same 3 pelvic floor exercises without biofeedback.. All participants involved in the study will complete a general medical information questionnaire. In addition, all participants will have their PFM contraction assessed using an ultrasound machine placed over the lower abdomen, quality of life assessed with a written ...
AIM: Stress urinary incontinence is the most common form of urinary incontinence, occurring in pure or mixed forms in nearly 80% of women with incontinence. Hypoestrogenism may cause female incontinence and low bone mineral density, together. So, we investigated the relationship between stress urinary incontinence, serum E2 levels and osteoporosis in premenopausal and postmenopausal women ...
COMMENTARY. The understanding of physiopathological concepts of urinary stress incontinence has changed over the last few years, leading to the development of new therapies and surgical techniques.. Synthetic Slings. Minimally invasive synthetic slings, such as tension-free vaginal tape (TVT), have replaced the Bursch colposuspension for the treatment of urinary stress incontinence. They have become the preferred technique in the last decade. Various factors have contributed to the popularization of slings, including the fact that techniques like the Pereiras needle suspension and all of its variants did not stand the test of time. However, the blind passage of long needles and the pull through of the sling have remained the key steps in all techniques.. There have been a number of conceptual changes and developments of biomaterials [1]. Synthetic slings present several advantages over autologous slings. No graft harvesting is required; this was a time-consuming procedure associated with ...
Surgical therapy for female stress urinary incontinence (SUI) includes bladder neck slings, midurethral slings, and Burch urethropexy ().Although the midurethral sling is the most common procedure for treatment of SUI and the standard of care for mos
Objective To compare two treatment programmes for stress urinary incontinence (SUI) without face-to-face contact: one Internet-based and one sent by post. Patients and Methods Randomised, controlled trial conducted in Sweden 2009-2011. Computer-generated block-randomisation, allocation by independent administrator. No blinding. The study included 250 community-dwelling women aged 18-70 years, with SUI ,= 1 time/week. Consecutive online recruitment. The women had 3 months of either; (i) An Internet-based treatment programme (124 women), including e-mail support and cognitive behavioural therapy assignments or (ii) A treatment programme sent by post (126). Both programmes focused mainly on pelvic floor muscle training. Primary outcomes: symptom-score (International Consultation on Incontinence Questionnaire Short Form, ICIQ-UI SF) and condition-specific quality of life (ICIQ-Lower Urinary Tract Symptoms Quality of Life, ICIQ-LUTSQoL). Secondary outcomes: (i) Patient Global Impression of ...
To assess retrospectively the efficacy and safety of MONARC (American Medical Systems) transobturator suburethral slings in the treatment of female urodynamic stress incontinence with and without low maximal urethral closure pressure (MUCP). Se
Objective: The primary objective of the study is the comparison of protein concentrations between patients with stress urinary incontinence (SUI) and healthy controls.. Aim: This pilot study aims to determine a possible altered protein profile in women suffering from SUI, compared to healthy women and therefore to discriminate a potential protein biomarker for SUI.. Main outcome measure: mass spectrometric measuring of urinary proteomic secretome in diseased and healthy subjects (sequence coverage and number of identified proteins). Trial design: Prospective case- control study. Setting: Department of Gynecology and Obstetrics of the Medical University of Vienna in co- operation with the Core Facilities Proteomics of the Medical University of Vienna. Population: Twenty female patients with SUI and twenty healthy patients who attend the outpatient clinic of the Department of Obstetrics and Gynaecology, Medical University of Vienna (sample size calculation FDR 0.05, power of 80%, assumed ...
INTRODUCTION. Involuntary loss of urine due to increased intraabdominal pressure is a condition mainly affecting females. Approximately 50% of all incontinent women have genuine stress urinary incontinence (SUI) [1]. SUI prevalence is highest among women between 25 and 49 years of age (ie, during their reproductive years). In the USA alone, 25 million women have SUI, and this figure is increasing [1]. Although there are many factors contributing to its etiology, increased incidence of pregnancy, child birth, and parity greatly contribute to its development. SUI results in a restricted lifestyle, impacts confidence and self perception, and interferes with the social relationships of the individual [1,2,3,4,5,6].. Initial conservative treatment of SUI with pharmaceutical agents, pelvic floor exercise, and behavioral therapy remains the first line of treatment. However, this treatment is not economical and surgical correction is likely to be required for permanent, effective relief [4,5,6].. Among ...
in Surgical Technology International (2012), XXII(pii), 2223. Tension-free suburethral tapes have revolutionized the surgical treatment of female stress urinary incontinence (SUI). These tapes are inserted by way of a retropubic or transobturator route. The inside ... [more ▼]. Tension-free suburethral tapes have revolutionized the surgical treatment of female stress urinary incontinence (SUI). These tapes are inserted by way of a retropubic or transobturator route. The inside-out tension-free vaginal tape transobturator approach, or TVT-Obturator system (TVT-O®, Ethicon Womens Health and Urology, Somerville, NJ), was developed ten years ago with the aim of minimizing the risk of urinary tract injuries associated with retropubic and outside-in transobturator tapes while reproducibly ensuring minimal tissue dissection. Cadaveric studies have shown that the anatomical trajectory of the TVT-O tape is strictly perineal and courses away from neighboring obturator and pudendal neurovascular ...
Learn more about Urinary Incontinence Surgery -- Sling Procedures at Doctors Hospital of Augusta DefinitionReasons for ProcedurePossible ComplicationsWhat to ExpectCall...
Learn more about Urinary Incontinence Surgery -- Sling Procedures at Grand Strand Medical Center DefinitionReasons for ProcedurePossible ComplicationsWhat to ExpectCall...
Learn more about Urinary Incontinence Surgery -- Sling Procedures at TriStar Centennial DefinitionReasons for ProcedurePossible ComplicationsWhat to ExpectCall Your...
Learn more about Urinary Incontinence Surgery -- Sling Procedures at TriStar Centennial DefinitionReasons for ProcedurePossible ComplicationsWhat to ExpectCall Your...
stress urinary - MedHelps stress urinary Center for Information, Symptoms, Resources, Treatments and Tools for stress urinary. Find stress urinary information, treatments for stress urinary and stress urinary symptoms.
Treatment of stress urinary incontinence starts with a full evaluation. Usually the 1st step is to try to build up strength in the pelvic muscles that are involved in controlling urination. Kegel exercises are effective for many women.. Behavioral and nonsurgical approaches are effective for many women with stress urinary incontinence.. Weight loss may also be beneficial for some women who are overweight and who suffer from stress urinary incontinence. Women who suffer from severe chronic cough often derive significant benefit from treatment of cough, which causes urinary incontinence.. Timed Voiding. Because leakage of urine is more likely to occur when the bladder is full, timed voiding, which may also be helpful. Timed voiding refers to planned urination every 2-3 hours even without the feeling that you need to go to the bathroom.. Pelvic floor therapy including biofeedback is useful for many women. ...
Stress incontinence is when a person suddenly leak urine whenever there is pressure over the bladder such as coughing, laughing or lifting of heavy weight. Genuine stress incontinence is involuntary loss of urine which occurs whenever there is rise in the intravesical (inside urinary bladder) pressure.. Normally whenever there is increased pressure inside the urinary bladder the detrusor muscle (urinary bladder muscle) at the neck of gallbladder contracts and does not allow the urine to pass into urethra spontaneously.. The usual cause of stress incontinence is weakness of pelvic floor muscles of females after repeated childbirths. This weakens the support for the vagina that is important to maintain the angle between bladder and urethra. Many women suffer from the problem of stress incontinence. This causes a significant amount of medical, social and psychological problems in females.. ...
Retropubic Burch colposuspension has been considered by many to be the "gold standard" procedure for the treatment of female stress urinary incontinence for almost 40 years. Vancaillie and Schuessler introduced the laparoscopic approach to retropubic colposuspension in 1991. Numerous reports followed in subsequent years describing laparoscopic colposuspensions and their efficacy. Analysis of the outcomes of these various laparoscopic "Burch" colposuspensions is difficult because many of the techniques are not true Burch procedures but rather other modified retropubic colposuspensions. In this section, we describe the laparoscopic Burch colposuspension, including patient selection, preoperative evaluation, operative technique, possible complications, and efficacy. We review the efficacy of the laparoscopic Burch colposuspension studies that use the Burch-Tanagho procedure and compare these techniques to other popular anti-incontinence procedures. The many modified laparoscopic retropubic ...
Stress urinary incontinence: effect of pelvic muscle exercise. Use of magnetic resonance imaging in the diagnosis of cortical blindness in pregnancy
Treatment of stress urinary incontinence in men with implantation of retrourinal advance ® sling (costs for program #272267) ✔ Asklepios Academic City Hospital Bad Wildungen ✔ Department of Urology ✔ BookingHealth.com
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Recent studies have been reported the roles of the estrogen receptor (ER), progesterone receptor (PR) and p53 in the development of a pelvic organ prolapse (POP). The pathogenesis of stress urinary incontinence (SUI) is related to that of POP in the weakness of pelvic support. Therefore, this study ...
Stress urinary incontinence (SUI) treatment - Surgical and non-surgical treatment for unexpectedly passing urine.. Choose Spire Washington Hospital.
Stress urinary incontinence (SUI) treatment - Surgical and non-surgical treatment for unexpectedly passing urine.. Choose Spire Bushey Hospital.
The cure effect of Bulkamid® operation decreases in correlation with the time that elapses after the operation, although this procedure is minimally invasive and is an option in cases where anti-incontinence surgery has failed.
in International Urogynecology Journal & Pelvic Floor Dysfunction (2004). Hypothesis / aims of study The aim of this study was to prospectively evaluate the efficacy of the TVT-O inside-out procedure for the treatment of female stress urinary incontinence (SUI). Study design ... [more ▼]. Hypothesis / aims of study The aim of this study was to prospectively evaluate the efficacy of the TVT-O inside-out procedure for the treatment of female stress urinary incontinence (SUI). Study design, materials and methods From March 2003 through September 2003, 53 patients with clinical evidence of SUI participated in this prospective clinical trial. Preoperative evaluation included complete history, physical examination, multichannel urodynamics, urine analysis, and cystoscopy. None of the patients presented the following exclusion criteria: post-void residual volume (PVR) ≥ 100 cc, detrusor overactivity or acontractility, contraindication to anesthesia, pregnancy, neurological pathology, or active ...
The vaginal distention (VD) translational model for postpartum stress urinary incontinence (SUI) is potentially biased for use in evaluating animals with increasing phenotypic size (obesity) due to a fixed VD volume. Our study had three principle and two secondary aims. First, to examine both ex vivo and in vivo catheter pressure changes during volume distention. Secondly, to determine mean pressure at current volume standard for use as target pressure (TP) for VD under isobaric (IB) conditions. Thirdly, to demonstrate feasibility and equivalence of VD at TP versus isovolumetric (IV) standard. Secondary aims were to demonstrate decreased variability (IB vs. IV) and to review the effect of weight. ...
Stress urinary incontinence (SUI) is a common medical problem affecting 25% to 50% of women in the United States. This article reviews the literature on the current systems- and population-based costs
The need to find other methods in treating stress urinary incontinence (SUI) has become very crucial with the unabated increase in the number of women seriously
Minimally invasive operations are just as effective in treating stress urinary incontinence in women as traditional open surgical approaches
Stress incontinence, also known as stress urinary incontinence (SUI) or effort incontinence is a form of urinary incontinence. It is due to insufficient strength of the closure of the bladder. It is the loss of small amounts of urine associated with coughing, laughing, sneezing, exercising or other movements that increase intra-abdominal pressure and thus increase pressure on the bladder. The urethra is supported by fascia of the pelvic floor. If this support is insufficient, the urethra can move downward at times of increased abdominal pressure, allowing urine to pass. Most lab results such as urine analysis, cystometry and postvoid residual volume are normal. Some sources distinguish between urethral hypermobility and intrinsic sphincter deficiency. The latter is more rare, and requires different surgical approaches. Stress incontinence is rare in men. The most common cause is as a post-surgical complication following a prostatectomy. In women, physical changes resulting from pregnancy, ...
Learn about Urinary incontinence surgery, its necessity, finding a good surgeon, the costs associated with it, procedure, and recovery process.
The invention concerns a surgical assembly for supporting the urethra (1) in a woman, comprising a sub-urethral supporting tape (2) and a skin penetrating needle (3). The invention is characterised in that when combined: d) a composite strip (4) assembles at least both the sub-urethral supporting tape (2) and a flattened protective sheath (5) wherein said tape is arranged; e) the flattened sheath (5) comprises, lengthwise, two parts (51, 52) arranged on either side of a separation zone (6) wherein is provided cleavable linking means (7) between the two parts; f) the composite strip (4) comprises at each of its two ends (4a, 4b) a common part (81), for example a female part, of connecting means (8) capable of being locked and unlocked, while the proximal tip (31) of the skin penetrating needle (3) comprises another part (82), for example a male part, of said connection means (8).
CANIS SANCHEZ, D. et al. Results and complications of TVT procedure for surgical treatment of female stress incontinence. Actas Urol Esp [online]. 2005, vol.29, n.3, pp.287-291. ISSN 0210-4806.. Objetives: To evaluate the efficacy and safety of Tension-free vaginal tape (TVT) for treatment of female stress urinary incontinence (SUI). To determine the mid-term outcome of TVT performed during other pelvic floor reconstructive procedures. Patients and methods: 100 women with SUI undergoing TVT procedure under spinal anesthesia from January 2000 to November 2002 were studied. 76 women were treated with TVT alone. 24 patients were treated with TVT and pelvic floor reconstruction: we repaired 24 cystoceles grade II-III, 3 rectoceles and 4 concomitant vaginal histerectomies. Results: Mean age was 49,3 years (range 35-78). Mean parity: 2 (range 0-6) and mean operative time was 38 minutes (range 20 to 50). The postoperative hospital stay was 24 hours for women treated with TVT alone. Only 1 patient (1%) ...
Stress incontinence in women can cause frequent involuntary release of urine during activities that put pressure on your bladder, such as coughing or laughing. The tension-free vaginal tape (TVT) procedure is designed to provide support for a sagging urethra so that when you cough or move vigorously or suddenly, the urethra can remain closed with no accidental release of urine.. In TVT surgery, a mesh tape is placed under your urethra like a sling or hammock to keep it in its normal position. The tape is inserted through tiny incisions in your abdomen and vaginal wall. No sutures are required to hold the tape in place. TVT surgery takes about 30 minutes and may be done under local anesthesia so you can cough at the surgeons request to test the tapes support of your urethra.. Other sling surgeries are done in a way that is similar to TVT surgery. Transobturator tape (TOT) surgery is done almost as often as TVT in a slightly different way. ...
Pelvic floor muscle training (PFMT) is effective for treating stress urinary incontinence (SUI), say authors of an article published in International Urogynecology Journal. There is no apparent add-on effect of biofeedback (BF) training in short-term follow-up, they add. Women with SUI were randomized to PFMT with BF (BF group, n = 23) or without BF (PFMT group, n = 23) for 12 weeks. As primary outcome measures, subjective symptoms and QOL were assessed by the Kings Health Questionnaire (KHQ) and International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF). A voiding diary, 1-h pad test, and measurement of PFM strength were secondary outcome measures. Changes in the primary and secondary outcomes were assessed before and after 12 weeks of exercise training.. Of the 9 domains of the KHQ, the scores of 5 significantly decreased in the PFMT group; the scores of 7 significantly decreased in the BF group. All ICIQ-SF items and the total score significantly decreased in both groups ...
Pelvic floor muscle training (PFMT) is effective for treating stress urinary incontinence (SUI), say authors of an article published in International Urogynecology Journal. There is no apparent add-on effect of biofeedback (BF) training in short-term follow-up, they add. Women with SUI were randomized to PFMT with BF (BF group, n = 23) or without BF (PFMT group, n = 23) for 12 weeks. As primary outcome measures, subjective symptoms and QOL were assessed by the Kings Health Questionnaire (KHQ) and International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF). A voiding diary, 1-h pad test, and measurement of PFM strength were secondary outcome measures. Changes in the primary and secondary outcomes were assessed before and after 12 weeks of exercise training.. Of the 9 domains of the KHQ, the scores of 5 significantly decreased in the PFMT group; the scores of 7 significantly decreased in the BF group. All ICIQ-SF items and the total score significantly decreased in both groups ...
SALAZAR-GONZALEZ, Alejandra and ECHAVARRIA-RESTREPO, Luis Guillermo. Intrinsic sphincter dysfunction: What is the role of urethral hypermobility in management?. Rev Colomb Obstet Ginecol [online]. 2014, vol.65, n.1, pp.75-78. ISSN 0034-7434. http://dx.doi.org/10.18597/rcog.80.. Objective: To reflect on the importance of diagnosing urethral hypermobility in the surgical management of intrinsic urethral sphincter dysfunction, and on the assessment of hypermobility carried out in the studies that have evaluated the different techniques used for addressing the problem. Conclusion: Only a few studies in patients diagnosed with intrinsic sphincter dysfunction have evaluated cure rates and percentage of post-operative complications in patients taken to surgery with TVT and TOT slings, taking into account the presence or absence of urethral hypermobility.. Keywords : Stress urinary incontinence; urethra; urodynamics; suburethral sling. ...
Stress incontinence in women can cause frequent involuntary release of urine during activities that put pressure on your bladder, such as coughing or laughing. The tension-free vaginal tape (TVT) procedure is designed to provide support for a sagging urethra so that when you cough or move vigorously or suddenly, the urethra can remain closed with no accidental release of urine.. In TVT surgery, a mesh tape is placed under your urethra like a sling or hammock to keep it in its normal position. The tape is inserted through tiny incisions in your abdomen and vaginal wall. No sutures are required to hold the tape in place. TVT surgery takes about 30 minutes and may be done under local anesthesia so you can cough at the surgeons request to test the tapes support of your urethra.. Other sling surgeries are done in a way that is similar to TVT surgery. Transobturator tape (TOT) surgery is done almost as often as TVT in a slightly different way. ...
Urinary incontinence is an underdiagnosed and underreported problem that increases with age-affecting 50-84% of the elderly in long-term care facilities -and at any age is more than 2 times more common in females than in males. Essential update: Pilot study suggests adipose stem cells can aid female stress urinary incontinence Results from a ...
Urinary incontinence is an underdiagnosed and underreported problem that increases with age-affecting 50-84% of the elderly in long-term care facilities -and at any age is more than 2 times more common in females than in males. Essential update: Pilot study suggests adipose stem cells can aid female stress urinary incontinence Results from a ...
INTRODUCTION: Awareness of prostate cancer is growing in the Western population, and an increasing number of patients are being referred to prostate surgery. This is a significant contributor to male stress urinary incontinence (SUI). Implantation of an artificial sphincter (AUS) is considered the gold standard treatment of SUI. This study investigates the role of minimally invasive treatment with the Argus sling in a heterogenic hard-to-treat patient group.. METHOD: The study was a retrospective follow-up study with patients as their own controls. Forty-one patients were enrolled and treated with the Argus sling. Patients enrolled had persisting SUI after prostate surgery for more than 12 months, despite conservative treatment. The pre-operative daily usage of pads and the 24 hours urinary leakage were compared to the post-operative findings. The primary goal was to achieve complete continence or a reduction of more than 50% in pad usage or urinary leakage.. RESULTS: In total, 71% of the 41 ...
Because r-MUCP assesses urethral strength, it cannot be used for diagnosing SUI due to the significant overlap between continent and stress incontinent women [20], and the measure appears to be moderately correlated with the severity of SUI. Theofrastous et al. found, in a prospective study with 75 stress incontinent women (pure SUI), a moderate correlation between r-MUCP and the number of incontinence episodes per week (Pearson correlation coefficient r=0.258, P=0.04). There was no significant correlation between r-MUCP and the pad test (r=0.116) or the quality of life scale [21]. Similarly, Nager et al. [22] studied the correlations among r-MUCP, VLPP, and the severity of UI in 52 women with pure SUI (n=46) or mixed urinary incontinence with predominant SUI (n=6). They found a low correlation between r-MUCP and the pad test (r,0.09), and moderate correlations with the Q-tip test (r=0.67) and the quality of life score (r=0.10 for r-MUCP ...
The transobturator approach to treat Stress Urinary Incontinence (SUI) aims at providing a firm support for the middle urethra by rebuilding the pubourethral ligaments. In stress situations, there is urethral closure and its compression against the support provided by the sling, thus preventing urinary loss caused by a sudden increase in abdominal pressure. A major advantage, in relation to the retropubic TVT, is that it has lower post-operative obstruction likelihood because of the angles formed by the slings (closed in the TVT and open in the TVT-O). Yang et al evaluated the interaction among the tape, the urethra and the bladder neck. In the cases of surgical insuccess (recurrence or failure), a lack of close contact was clear, which the author characterized as urethral notch of the tape during rest which has been characterized as the main risk factor for the failure. On the other hand, when very prominent, the notch was associated with micturition dysfunction. Among the factors that can be ...
Background: Urodynamic studies are commonly performed in women before surgery for stress urinary incontinence, but there is no good evidence that they improve outcomes. Methods: We performed a multicenter, randomized, noninferiority trial involving women with uncomplicated, demonstrable stress urinary incontinence to compare outcomes after preoperative office evaluation and urodynamic tests or evaluation only. The primary outcome was treatment success at 12 months, defined as a reduction in the score on the Urogenital Distress Inventory of 70% or more and a response of �much better� or �very much better� on the Patient Global Impression of Improvement. The predetermined noninferiority margin was 11 percentage points. Results: A total of 630 women were randomly assigned to undergo office evaluation with urodynamic tests or evaluation only (315 per group); the proportion in whom treatment was successful was 76.9% in the urodynamic-testing group versus 77.2% in the ...
According to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), women are twice as likely as men to suffer from involuntary leakage. The most common causes of stress incontinence among women are pregnancy and childbirth, especially having multiple vaginal deliveries. During pregnancy and childbirth, the sphincter and pelvic muscles stretch out and are weakened. Older age and conditions that cause a chronic cough can also cause stress incontinence. This condition can also be a side effect of pelvic surgery.. Some women only suffer from stress incontinence during the week before they get their period. The NIDDK explains that estrogen drops during this phase of the menstrual cycle, which can weaken the urethra. This is not common though.. Among men, prostate surgery is a common cause of stress incontinence. The prostate gland surrounds the male urethra, and its removal can result in the loss of support of the urethra. Other risk factors for stress incontinence ...