Although surgery remains the gold standard for managing the majority of pat
ients with stress urinary incontinence or retention, not all patients are s
uitable candidates or desire surgery. For these patients, several urethral
caps and inserts are available, which are described. In approximately 50% o
f patients, satisfactory control is achieved. Further investigation undoubt
edly will yield better devices to serve the large number of patients with u
rinary control problems.