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Real stress incontinence occurs due to loss of normal anatomic angle between bladder and urethra (urinary meatus). Due to loss of angle intravesical pressure exceeds intra-urethra (urinary meatus) pressure and urinary leakage develops. Real Stress Incontinence is responsible for 75-80 % of all cases. Difficult vaginal births can cause this type of incontinence occurrence. Generally cystocele is seen together with (bladder prolapse), rectocele (bowel prolapse) and uterine prolapse

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