scholarly journals Urethral closure occurs by recoiling, pressure transmission, and a guarding reflex

2020 ◽  
Vol 31 (11) ◽  
pp. 2447-2449
Author(s):  
Bo S. Bergström

AbstractEnhörning’s abdominal pressure transmission theory (ET) is built on Pascal’s law of fluid pressures. A theory that rejects ET also rejects this basic physical law and cannot be considered scientifically sound. The integral theory (IT) of female stress urinary incontinence rejects ET. This issue is discussed from the viewpoint of the urethral hanging theory of female stress urinary incontinence (UHT).

2019 ◽  
Vol 31 (6) ◽  
pp. 1175-1180 ◽  
Author(s):  
Bo S. Bergström

Abstract Introduction and hypothesis The article discusses three theories of stress urinary incontinence, the urethral hanging theory, Enhörning’s theory, and the integral theory. Methods The abdominal pressure transmission theory proposed by Enhörning is often misunderstood. It is regularly interpreted to mean that, in cases of stress urinary incontinence, the bladder neck descends outside the abdominal cavity, and treatment must involve elevating or repositioning the bladder neck. Results However, this actually contradicts the information provided in Enhörning’s original paper. The urethral hanging theory accepts the core of Enhörning’s theory and the integral theory rejects it. The three theories have different views on closure and opening of the bladder neck and on the pathophysiology of urethral funneling. Conclusion These differences are described and discussed.


Author(s):  
Thomas Spirka ◽  
Kimberly Kenton ◽  
Linda Brubaker ◽  
Margot Damaser

Stress urinary incontinence (SUI), a condition that affects mainly women, is characterized by the involuntary leakage of urine caused by an increase in abdominal pressure in the absence of a bladder contraction that raises the vesical (bladder) pressure to a level that exceeds the urethral closure pressure.


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