Treatments for stress incontinence are designed to work on the two problems in the urethra that cause urine leakage with physical activity.
Problem 1 - the urethra isn't tight enough;
Solution - pelvic muscle strengthening will help to make the urethra tighter to stop leaking.
Problem 2 - the urethra falls down when you cough or sneeze.
Solution - the urethra can be supported to stop it from falling down by using either supportive devices placed in the vagina or by surgery.