International Urogynecology Journal

, Volume 24, Issue 8, pp 1413–1414 | Cite as

Comment on Nager: The urethra is a reliable witness: simplifying the diagnosis of stress urinary incontinence

  • F. M. E. WagenlehnerEmail author
  • B. Liedl
  • T. Bschleipfer
  • P. E. Petros
Letter to the Editor


Urinary Incontinence Stress Urinary Incontinence Mechanical Problem Latent Stress Pubic Bone 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Conflict of interest

Wagenlehner: SERAG Wiessner, consultant. Liedl, Bschleipfer, Petros: no conflict of interest.

Supplementary material


VIDEO by permission, Prof Palma, Campinas, Brazil, available on (MOV 4084 kb)


  1. 1.
    Nager CW (2012) The urethra is a reliable witness: simplifying the diagnosis of stress urinary incontinence. Int Urogynecol J 23(12):1649–1651. doi: 10.1007/s00192-012-1892-y Google Scholar
  2. 2.
    Petros PP, Von Konsky B (1999) Anchoring the midurethra restores bladder-neck anatomy and continence. Lancet 354(9183):997–998PubMedCrossRefGoogle Scholar
  3. 3.
    Petros P (2003) Changes in bladder neck geometry and closure pressure after midurethral anchoring suggest a musculoelastic mechanism activates closure. Neurourol Urodyn 22(3):191–197PubMedCrossRefGoogle Scholar

Copyright information

© The International Urogynecological Association 2013

Authors and Affiliations

  • F. M. E. Wagenlehner
    • 1
    Email author
  • B. Liedl
    • 2
  • T. Bschleipfer
    • 1
  • P. E. Petros
    • 3
  1. 1.Clinic of Urology, Pediatric Urology and AndrologyJustus Liebig UniversityGiessenGermany
  2. 2.Department of Urogenital SurgeryBeckenbodenzentrum MünchenMunichGermany
  3. 3.University of NSW Academic Department of SurgerySt Vincent’s Hospital Clinical SchoolSydneyAustralia

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