Incompetent urethral closure mechanism is leakage observed during ALPP or during activities that raise the intraabdominal pressure.
Urethral relaxation incompetence ("urethral instability," formerly referred to as intrinsic sphincter deficiency) is leakage due to urethral relaxation observed during urody namics in the absence of raised ALPP or a detrusor contraction.
Urodynamic stress ALPP (VLPP, dPP, Urodynamic stress test or abdominal stress leak) test is when any leak point pressure --urethra physical effort (ALPP) often competence.
Under the ALPP
taxpayers could not transfer their development rights until (1) the density sending plat and the density receiving plat were approved by Howard County, (2) an easement was placed on Rose Hill to restrict future development, and (3) all three documents were recorded in the county land records.
Under the ALPP, the county can acquire land preservation easements in three ways.
As required by the ALPP, the Costellos conveyed an easement to Howard County that severed the development rights from Rose Hill and prohibited all future development on the property.