[Percutaneous fixation of the bladder neck under endoscopic control in the treatment of stress urinary incontinence].

After reviewing the technique of the endoscopic suspension of the vesical neck, the authors report their experience about the use of paravaginal tissue from either side of the bladder neck to treat female stress incontinence. The authors operated upon 20 female patients with clinically demonstrable stress incontinence of mine between January 1985 and June 1989. With periods of follow up of 6 to 53 months, the results are good in 91% of cases. The characteristics of this procedure are emphasised. It is quick, simple, allowing an easy access even though for multi-operated and fat patients, with possibility of simultaneous treatment of an associated cystocele or rectocele. The post-operative morbidity and the tissular lesions are minimal. Thus, the post-operative hospital stay could be reduced and an eventual second intervention easy. The simplicity of this procedure and the good functional results make the authors indicate it in all urinary stress incontinence.