Hartford HealthCare Doctor Discusses Urinary Incontinence. Elisabeth Sappenfield, MD, Urogynecologist with Hartford HealthCare Medical Group discusses the two types of urinary incontinence- stress incontinence, which occurs when you leak when you laugh, cough, sneeze, or exercise, and urge incontinence, which occurs when you leak when you have a strong urge of needing to go to the bathroom..