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Fig. 3A. —Morphologic alteration of urethra and its supporting structures in 57-year-old woman with stress urinary incontinence. Axial T2-weighted fast spin-echo MR image obtained at level of approximately 30th percentile of urethra shows that striated muscle layer of urethra (arrowheads) is thin compared with normal muscle layer seen in woman imaged in Figure 2A. Fluttering periurethral ligament (straight arrows) and discontinuous paraurethral ligament (curved arrows) are evident. R = rectum, SP = symphysis pubis, V = vagina.