ABSTRACT
The first surgical approach for the treatment of female stress urinary incontinence (SUI)
was published in 1914 by Howard Kelly, describing his technique of urethral plication (1).
Since then, over 100 surgical procedures and various modifications have been described in
the literature. The fact that our knowledge of the functional anatomy of the urethra and the
physiology of the normal continence mechanism continues to evolve is no doubt interrelated
to why such a plethora of surgical procedures has been reported.
