The Mechanism of Continence

  • Paul Hilton


Urinary incontinence may be defined as “a condition in which involuntary loss of urine is a social or hygienic problem, and is objectively demonstrable” (Bates et al. 1983). Continence then, by inference, might be considered as the ability to retain urine within the bladder, between episodes of voluntary micturition. In order to comprehend fully the pathological processes which lead to the development of urinary incontinence, a clear understanding of the normal mechanisms for the maintenance of continence is of course fundamental; this in turn must be based on a knowledge of the development, anatomy, and physiology of the bladder and urethra, and their supporting structures. This chapter aims to provide this background information.


Pelvic Floor Bladder Neck Urethral Pressure Maximum Urethral Closure Pressure Intravesical Pressure 
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© Springer-Verlag Berlin Heidelberg 1986

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  • Paul Hilton

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