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​Pathology - Stress Urinary Incontinence 
This involuntary leakage of pee happens as a result of loss of pelvic floor muscles or a weakening of the wall between the bladder and vagina. The average adult bladder can retain 350 to 550 mL of pee and is maintained by pelvic floor musculature. Primary pelvic musculature involved in this condition includes the urethral sphincter muscle and detrusor muscle of the bladder wall. Weakness often arises as one sequelae of pregnancy/childbirth and/or menopause loss of estrogen support to vaginal tissues. In stress incontinence, the urinary sphincter muscle is not able to prevent urine from flowing when pressure (e.g., coughing, laughing, sneezing) is exerted on the abdomen. Diagnosis of this ailment may entail ultrasound assessment of the bladder, cystoscopy, urinalysis, and bladder stress test.
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