About 40% of all women will develop urinary incontinence during their life, usually starting around the age of 50 years. It usually starts with the spontaneous undesired loss of urine during increased intra-abdominal pressure (coughing or sneezing) and will continue in even shorter time intervals to reach the toilet “just in time”. In its ultimate form the patient has no control anymore about her voiding function and is “always wet”.
This is a totally debilitating disorder, which massively restricts the
social and private life of the affected patient. Every pharmacologic treatment
attempts to reduce the urinary incontinence symptoms; however, there was no
cure achieved so far.
In 1996 Petros and Ulmsten hypothesized that urinary incontinence (UI)
in women is caused by the laxity of the anterior vaginal wall. In that respect
the pubourethral (PUL) and the uterosacral ligaments (USL) play a major role,
as they are a substantial part of the holding apparatus of the vagina.
According to the “bridge allegory” they are the “tows at the pylons which keep
the vagina in the correct position.
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