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Urinary leakage during coughing or sneezing in women is a common condition known as stress incontinence. It results from weakness of the pelvic floor muscles and ligaments that support the bladder and urethra. The main causes include pregnancy and frequent childbirth, aging, decreased estrogen levels after menopause, weight gain, and chronic constipation. Additionally, certain surgeries and hormonal changes can contribute. The condition can usually be effectively treated with Kegel exercises, weight loss, management of constipation and chronic cough, and physical therapy. In severe cases that do not respond to conservative treatments, surgery may be necessary, with high success rates when the appropriate candidate is selected.
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