“…2,4,5 The cause is multifactorial with numerous factors identified or suspected to contribute to incontinence, including urethral tone and length, position of the urinary bladder neck, breed, size, neutering, obesity, age, and tail docking. 2,3,[6][7][8][9][10][11][12][13][14][15][16] The initial treatment of USMI is usually medical. Alpha-adrenergic drugs (eg, phenylpropanolamine [PPA]) are commonly used [17][18][19] and the reported success rate ranges from 85-97% continence.…”