Figure 1.

Transperineal ultrasound of a woman with SUI. At rest (left frame), during straining (middle frame) and with a hemostat (white arrow) supporting the pubourethral ligament at midurethra (right frame). Reused from Petros P. The female pelvic floor function, dysfunction and management according to the Integral Theory. 3^rd ed. Heidelberg: Springer Berlin; 2010. With permission from Peter Petros; retains ownership of the copyright. S, symphysis; U, urethra; B, bladder; a & p are the anterior and posterior walls of the vagina; the two yellow circles mark length of PUL extending from behind lower border of the symphysis to the midurethra; red broken line marks the anterior wall of the distal urethra; white broken line marks lower border of the symphysis. SUI, stress urinary incontinence; PUL, pubourethral ligament; MID/UR, midurethral anchoring by hemaostat (white arrow).