Which term describes urinary leakage that occurs with physical activity due to increased intra-abdominal pressure?

• A. Urinary incontinence
• B. Urinary hesitancy
• C. Polyuria
• D. Stress incontinence

Answer: (D)

When urine leaks with activities that raise pressure inside the abdomen (like coughing, sneezing, lifting, or exercising), the term is stress incontinence. The mechanism is a weakness or inadequate closure of the pelvic floor and urethral sphincter so they can’t maintain a seal against sudden increases in abdominal pressure. It’s a specific type of incontinence, distinct from general urinary leakage or other issues like hesitancy or producing too much urine. Factors such as childbirth, aging, and obesity can weaken the pelvic floor, making this type of leakage more likely. Treatments often focus on strengthening the pelvic floor, lifestyle changes, and, when needed, medical or surgical options.