The anatomical basis for stress incontinence is hotly debated, says Dr Ian Tucker
The anatomical basis for stress incontinence is hotly debated because it’s a symptom with many causes.
“It is a symptom of urine escaping at the time of increased abdominal pressure,” says Dr Ian Tucker, a gynaecologist and urogynaecologist based in Adelaide.
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“And there are several plausible explanations for that. Even overactive bladder can lead to the symptom,” he says.
“So can a weak urethral sphincter where the muscle has deteriorated with increased age or the lack of oestrogen.
“The condition of stress incontinence that we operate on is largely due to the urethra being dislocated from its retropublic support.”
