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The study included a group of 133 women (average age 55 years) suffering from urinary incontinence and operated on by the synthetic sling method. A number of studies were performed before and after surgery, including non-invasive uroflow monitoring. The processing and analysis of the data obtained, including the results of urodynamic monitoring, made it possible to provide a mechanism of urinary retention, which is based on the activation of the 4th mating reflex of a forced change in the receptive field by an installed synthetic tape. Based on the reflex nature of the described mechanism, one should use any operation from the class of synthetic sling of limiting effectiveness, use an instrument for implantation, and the material itself is not of key importance for eliminating incontinence.