Urinary stress incontinence is far more frequent than has been realized, and as a result it has not received the attention it deserves. Even in mild cases stress incontinence is a social handicap. It is offensive to a fastidious woman and makes her constantly apprehensive, and so she is grateful for relief from the ever-present insecurity. Happily, normal function can be restored by means of present-day surgical techniques, and women do not have to go through life coping with this affliction.
The prevalence of stress incontinence was illustrated by a study made by Nemir and Middleton in 1954. They submitted a questionnaire to 1327 freshman women in the University of Utah, of whom 95% admitted having some stress incontinence. Of these only 5% experienced frequent loss, and none manifested any neurological or anatomical disturbance which would affect urinary control.
In our own series of 2063 gynecological cases covering 12 years,
AUSTIN RC, DAMSTRA EF, PERKINS NC. Etiology and Treatment of Urinary Stress Incontinence in Women. AMA Arch Surg. 1957;74(4):503–510. doi:10.1001/archsurg.1957.01280100021003