Which symptom is not typical of stress urinary incontinence?

• A. Leakage preceded by sudden urge to void.
• B. Leakage with coughing or sneezing.
• C. Leakage during physical activity.
• D. Leakage with increased intra-abdominal pressure.

Answer: (A)

Stress urinary incontinence shows leakage when there’s a rise in abdominal pressure, such as during coughing, sneezing, lifting, or other physical activity, because the pelvic floor and urethral support aren’t able to maintain closure at those moments. Leakage that is preceded by a sudden urge to void points to urge incontinence, which involves involuntary detrusor muscle contractions and a strong, immediate need to urinate, rather than leakage from the effort or pressure alone. So the symptom not typical of stress incontinence is leakage preceded by sudden urge to void, while leakage with coughing, sneezing, or physical activity, and leakage with increased intra-abdominal pressure fit the pattern of stress incontinence.