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The authors present the videourodynamic urinary stress incontinence classification. The videourodynamic study is the gold standard method to diagnose this very common condition among women. It takes in account the classical data of conventional urodynamic and compare them with the fluoroscopic images of the filling, storage and voiding phase of the study. Stress maneuvers are done to score the degree of the bladder neck descent in the fluoroscopic images and compare them with the pressure necessary in urine leak.