II. Mechanism

  1. Low Pressure Urethra (Type 3)
  2. Loss of Urethral tone (<60 cm H20)
    1. Denervating Traumatic Injury
    2. Surgery
    3. Hysterectomy
    4. Prior Bladder neck suspension

III. Signs and Symptoms

  1. May have positive Bladder Stress Test
  2. Usually no urthrocele
  3. No sensation of urine loss

IV. Diagnostics

  1. Requires formal urodynamic testing to confirm

V. Management

  1. Medications: Alpha adrenergics
  2. Surgical: Collagen injection

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