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What Causes Urine Leakage While Coughing And Sneezing?

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Posted on Sat, 8 Nov 2014
Question: i frequently leak urine coughing snezzing and now sex what do or can i do to stop this? kageal? more?
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Answered by Dr. Chobufo Ditah (22 minutes later)
Brief Answer:
See a urogynecologist if no improvement!

Detailed Answer:
Hi and thank you so much for this query.

I am so sorry to hear about this leaking of urine. From the information that you have provided, this is stress incontinence. This means that the urethral sphincter is unable to contain urine when the pressure in the abdomen increases. This is what happens when we cough, sneeze, etc.

The first approach is to try and empty the bladder as often as possible. In this way, you ensure there is minimal volumes and leaking would be reduced. When going out of the house, putting on a protective underwear would be helpful as well. Exercises like kegel can help strengthen the muscles around the urethral opening strengthen the closing force. You would need to be shown how to do this by a person familiar with this.

If these measures fail, then you would need to be fully evaluated by a urogynecologist for appropriate management. Have you had any pelvic surgeries or difficult deliveries or given birth to babies weighing more than 4kg? These are some risk factors for this condition.

I hope this heps. I wish you well. Thank you so much for using our services and feel free to ask for more information and clarifications if need be.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Chobufo Ditah

General & Family Physician

Practicing since :2009

Answered : 6323 Questions

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What Causes Urine Leakage While Coughing And Sneezing?

Brief Answer: See a urogynecologist if no improvement! Detailed Answer: Hi and thank you so much for this query. I am so sorry to hear about this leaking of urine. From the information that you have provided, this is stress incontinence. This means that the urethral sphincter is unable to contain urine when the pressure in the abdomen increases. This is what happens when we cough, sneeze, etc. The first approach is to try and empty the bladder as often as possible. In this way, you ensure there is minimal volumes and leaking would be reduced. When going out of the house, putting on a protective underwear would be helpful as well. Exercises like kegel can help strengthen the muscles around the urethral opening strengthen the closing force. You would need to be shown how to do this by a person familiar with this. If these measures fail, then you would need to be fully evaluated by a urogynecologist for appropriate management. Have you had any pelvic surgeries or difficult deliveries or given birth to babies weighing more than 4kg? These are some risk factors for this condition. I hope this heps. I wish you well. Thank you so much for using our services and feel free to ask for more information and clarifications if need be.