Erschienen in:
10.05.2022 | Letter to the Editor
The abdominal pressure theory of stress urinary incontinence—questioning validity
verfasst von:
Darren M. Gold
Erschienen in:
International Urogynecology Journal
|
Ausgabe 7/2022
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Excerpt
I read Dr Bergstrom’s recent publication with interest and from a specifically scientific perspective. His “urethral hanging hypothesis” (UHT) [
1] mimics the Integral Theory (IT) that a sound pubourethral ligament (PUL) is key to urethral closure [
2]. One difference is Dr Bergstrom (without any experimental proof) proposes PUL as a fracture (his Fig. 1), whereas the IT states PUL “laxity” is due to defective collagen, proven by the application of the mid-urethral sling (MUS), which harnesses the wound reaction of an implanted tape to create new collagen to repair PUL [
2]. …