Background: Stress urinary incontinence (SUI) is a common but under-reported condition among women, significantly affecting quality of life. It is associated with multiple obstetric, demographic, and lifestyle risk factors. Despite its high prevalence, there is variability in clinical presentation and treatment outcomes, particularly in resource-limited settings.

Aim: To evaluate the clinical profile, associated risk factors, and treatment outcomes of women with stress urinary incontinence in a tertiary care hospital.

Materials and Methods: This hospital-based observational study was conducted among 68 women diagnosed with SUI over a study period of 12–18 months. Diagnosis was based on clinical history and positive cough stress test. Detailed demographic, obstetric, and medical histories were recorded. Patients were evaluated for severity and associated risk factors. Management included conservative therapy (pelvic floor muscle training and lifestyle modification) and surgical intervention (mid-urethral sling procedures), based on severity and clinical indication. Outcomes were assessed at follow-up visits and categorized as complete cure, improvement, or no improvement. Data were analyzed using descriptive statistics.

Results: The majority of patients were aged 50–59 years (29.4%). Multiparity and grand multiparity were observed in 88.2% of cases. The most common risk factor was menopause (41.2%), followed by obesity (38.2%) and chronic constipation (26.5%). Moderate SUI was the most frequent severity grade (44.1%). Conservative management was given to 58.8% of patients, while 41.2% underwent surgical treatment. Overall, surgical management demonstrated a higher cure rate compared to conservative therapy.

Conclusion: Stress urinary incontinence is strongly associated with multiparity, menopause, and obesity. Surgical management provides superior outcomes in appropriately selected patients, while conservative therapy remains effective in mild to moderate cases.

KEYWORDS: Stress Urinary Incontinence, Pelvic Floor Dysfunction, Multiparity, Menopause, Mid-urethral Sling, Women’s Health.