Continence and micturition involve a balance between urethral closure and detrusor muscle activity. Urethral pressure normally exceeds bladder pressure, resulting in urine remaining in the bladder. The proximal urethra and bladder are both within the pelvis. Intra-abdominal pressure increases (from coughing and sneezing) are transmitted to both urethra and bladder equally, leaving the pressure differential unchanged, resulting in continence.
In Israel, up to 35% of the population over the age of 60 years is estimated to be incontinent.
Treatment is keyed to the type of incontinence. The usual approaches are as follows: • Stress incontinence - Surgery, pelvic floor physiotherapy, anti-incontinence devices, and medication • Urge incontinence - Changes in diet, behavioral modification, pelvic-floor exercises, and/or medications and new forms of surgical intervention • Mixed incontinence - Anticholinergic drugs and surgery
In clinical research, this surgery has been shown to be 90 percent effective in treating stress urinary incontinence. In fact, many women regain complete bladder control within hours after surgery. The small incisions reduce pain, speed recovery time, leave no visible scarring and most patients return to normal, non-strenuous activities quickly.