Retropubic urethropexy by the vaginal wall technique in stress urinary incontinence

In our opinion retropubic urethropexy via the vaginal wall technique should be considered the primary operation to correct female stress urinary incontinence. The urethrovesical junction is elevated to the midsymphysis and supported by the vaginal wall and endopelvic fascia. Failure is related to not completing the basic objective of the operation, postoperative breakdown due to faulty selection or placement of sutures, and improper patient selection. This operation has proven to be simple, free of disturbing complications, and with durable results. Patients themselves attest to satisfaction with the results of the procedure.