ArticleInternational urogynecology journal2022
Stress urinary incontinence is caused predominantly by urethral support failure.
Article in International urogynecology journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 18 citations in OpenAlex.
- The Urethral Hanging Theory: A Unified Biomechanical Model for the Pathophysiology and Treatment of Female Urinary Incontinence.International urogynecology journal · 2026Article
- Prevalence of Various Urogynaecological Lower Urinary Tract Symptoms (LUTS) in Relation to Mode of Delivery.Journal of obstetrics and gynaecology of India · 2025Article
- Enhanced Monitoring of Urethral and Bladder Mobility in Postpartum Stress Urinary Incontinence using Combined Ultrasound Techniques.Current medical imaging · 2025Article
- The Therapeutic Effect of Monopolar Radiofrequency Therapy on Urinary Symptoms and Sexual Function.Biomedicines · 2024Article
- An assessment of the relationship between urethral hypermobility as measured by ultrasound and the symptoms of stress urinary incontinence in primiparous women 9-18 months postpartum.Journal of ultrasonography · 2024Article
- Urethral failure is not the predominant cause of female stress urinary incontinence.Neurourology and urodynamics · 2023Article
- Reply to: The case against urethral failure is not a critical factor in female urinary incontinence. Now what? The integral theory system.Neurourology and urodynamics · 2022Article
- Letter to the editor: Stress urinary incontinence is caused predominantly by urethral support failure.International urogynecology journal · 2022Article
- Comparing urethral closure mechanisms.Central European journal of urology · 2022Article
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Authors and funding
1 author at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Whales are mammals that can dive to depths of > 1000 m without the high water pressure pushing open their mouth or anus. The same is true for the female urethra. The meatus externus and internus are seals that cannot be pushed open by high water pressures. Recent evidence suggests that the female meatus internus is pushed open when the bladder pressure exceeds the urethral pressure. For a relaxed detrusor, this opening is not possible for at least three reasons: the law of elastic collision, Pascal's law of hydrostatics and the Hagen-Poiseuille law. The three laws do not support that urethral function failure is the predominant cause of stress urinary incontinence (SUI); however, they do support that urethral support failure is. Influential urogynecologists claim the opposite. TVT surgery, according to the integral theory of SUI (IT), has high failure rates because it does not principally prevent the urethra from hanging on a less mobile bladder neck. In the case of a long urethra, the tape is set too distally, and in hypomobile SUI, the use of a tension-free suburethral tape is unwarranted/ineffective, because the proximal urethra is not elevated above its resting position. A successful operation corrects urethral support failure and not urethral function failure.
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