Modified retropubic cystourethropexy. II.

In 1986 we published a preliminary report describing a modification for bladder-neck suspension in the treatment of urinary stress incontinence. From 1982 through 1989 135 surgical procedures were performed. Long-term follow-up of these patients is now presented. Of the 135 patients in this study, 118 were available for follow-up at the time of this report; 108 (91.5%) of the 118 reported no urinary leakage. Of the 10 patients who reported continued urinary leakage, only 2 had persistent or recurrent urinary stress incontinence; they were reoperated on with favorable results. The other eight patients reporting urinary leakage were patients with mixed-cause urgency incontinence. The adjusted success rate for the treatment of genuine stress incontinence was therefore 98%.