Stress Urinary Incontinence

Stress urinary incontinence can happen to men and women — especially as you get older — and may cause urine to leak from your bladder when you cough, sneeze, or laugh. To get help for stress urinary incontinence, visit Angelo Gousse, MD, at Bladder Health & Reconstructive Urology Institute. For more than 25 years, Dr. Gousse has served the communities of Aventura, Miramar and West Palm Beach, Florida, and provided exceptional urologic care for patients throughout Florida. To schedule a consultation, call the office nearest you or book online today.

Stress Urinary Incontinence Q & A

Stress urinary incontinence is a condition that causes unintentional loss of urine when your bladder experiences stress or pressure. Common stressors include:

  • Coughing
  • Sneezing
  • Laughing
  • Standing up from a seated position
  • Exercising
  • Heavy lifting
  • Having sex


Stress urinary incontinence may be more obvious when you have a full bladder, though it can happen at any time. This may be embarrassing or upsetting for you, but evaluation and treatment from Dr. Gousse can help.

Stress urinary incontinence develops when the muscles and soft tissues that support your bladder and urinary sphincter weaken over time. This may be caused by:

  • Childbirth
  • Prostate surgery
  • Tissue or nerve damage in or near the bladder and urinary sphincter
  • Illnesses that cause chronic coughing or sneezing
  • Obesity
  • Smoking, which can increase coughing
  • High-impact activities over many years, including running and jumping


Both men and women can experience stress urinary incontinence and whether it’s disrupting your daily life and preventing you from doing your regular activities, see Dr. Gousse right away.

Yes, Dr. Gousse offers urodynamic testing in the office to determine what is causing your stress urinary incontinence symptoms. Types of tests include:

Measurements of post-void residual urine

Measurements of urine volume after urination can be taken using diagnostic ultrasound or by using a catheter to drain remaining urine from your bladder.


A catheter is used to fill your bladder while Dr. Gousse checks for leakage and performs tests to determine how much pressure is needed to cause leakage.

Video urodynamics

A video X-ray is taken while your bladder is filled via catheter and then emptied by urinating. This test helps determine your bladder volume and functional capabilities.


Cystoscopy is a visual inspection of your bladder using a scope that is inserted into your bladder in the office with local anesthetic, as needed, to avoid discomfort.

Dr. Gousse also has you complete a voiding diary to determine how often you’re urinating throughout the day.

Depending on the severity of your condition, Dr. Gousse may recommend one of the following treatment options:

  • Pelvic floor muscle exercises
  • Limiting fluid consumption
  • Bladder training exercises
  • Medications, including Botox®
  • Devices for women to support the pelvic floor
  • Surgical interventions, including reconstruction, implants, and sphincter repairs


To determine which treatment option is best, visit Dr. Gousse for an evaluation.

To schedule a visit, call Bladder Health & Reconstructive Urology Institute or book online now.

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