The Problem. Symptom- the complaint of involuntary leakage of urine during effort, exertion, coughing or sneezingSign-The observation of leakage from the urethra synchronous with cough or exertion or spontaneously. DEFINITION OF URINARY INCONTINENCE. The objective loss of urine that presents a social or hygienic problem to the individual. Incontinence is not a normal part of aging nor is it a disease..