ABSTRACT
The etiology of stress urinary incontinence is not completely understood. In the past, bladder
neck suspensions were performed in order to correct anatomic abnormalities, and bladder
neck and urethral hypermobility. These procedures were attractive because of their simplicity,
low morbidity, and excellent early success. With time, the successes seen with these procedures
have not proven to be durable, and alternative surgical procedures have been developed.