Stress urinary incontinence is the involuntary loss of urine during physical activity like coughing or sneezing caused by weakened pelvic floor muscles or urethral sphincters. It is the most common type of incontinence in women, affecting 40% in western countries. The two main types are urethral hypermobility, where the bladder neck and urethra descend too low, and intrinsic sphincter deficiency, where the sphincter does not close properly. Diagnosis involves stress tests, pad tests to measure urine loss, and urodynamics to evaluate bladder and urethral function. Risk factors include childbirth, obesity, menopause, and prior pelvic surgery