Early experience of the gittes "no-incision" pubovaginal suspension for stress urinary incontinence.

A series of 20 women with stress urinary incontinence underwent bladder neck suspension according to the method in which there are no suprapubic or vaginal incisions and no buttresses. Follow-up was between 9 weeks and 8 months. Twelve patients (60%) were cured, 2 (10%) were significantly improved and 6 (30%) were not improved; 3 patients had pre-operative detrusor instability; when they were excluded the failure rate fell to 23%. These results are inferior to those obtained in this unit using the Stamey procedure, although the difference is not significant. The operation is quick and easy to perform and was well tolerated with minimal complications; we believe it is worthy of further evaluation.