There are several effective non-surgical treatments available for stress urinary incontinence (SUI), many of which focus on strengthening the pelvic floor muscles and improving bladder control. One of the most common and effective treatments is pelvic floor muscle exercises, often referred to as Kegel exercises. These exercises target the muscles responsible for controlling urine flow and can significantly improve bladder control when performed regularly. Pelvic floor physical therapy is another option, where a trained therapist guides the patient through exercises designed to strengthen the pelvic muscles and retrain them for better function. Biofeedback therapy, which uses sensors to help individuals identify and control the pelvic muscles, may also be employed to assist with the rehabilitation of the pelvic floor.

Another non-surgical treatment for SUI is the use of vaginal devices like a pessary. A pessary is a small, removable device that is inserted into the vagina to provide support to the bladder and urethra. It is often used for women who experience pelvic organ prolapse along with incontinence. Lifestyle modifications can also play a critical role in managing SUI. Maintaining a healthy weight, avoiding heavy lifting, and managing chronic cough through smoking cessation or treating respiratory conditions can help reduce pressure on the bladder. In more severe cases, medical professionals may recommend injections of bulking agents into the urethra to improve sphincter function, though this is less common and typically used in specific cases. Non-surgical treatments for SUI can be highly effective, particularly when combined with behavioral changes and physical therapy.