The Bladder Neck Support Prosthesis is a Silastic vaginal device designed to elevate and support the bladder neck and proximal urethra during stressful physical activities. It mimics the effects of a urethropexy on urethral function without resulting in urinary outflow obstruction. Recent clinical studies in women with stress and mixed incontinence have demonstrated significant objective reductions in involuntary urine loss and high subjective satisfaction ratings.