Fascial sling for stress urinary incontinence

Pubovaginal fascial sling operation was done on 15 women with severe stress urinary incontinence who either had had previous unsatisfactory retropubic procedures or had markedly abnormal urethral function determined by extensive urodynamic evaluation. Overall success was 93%, the only failure being in a woman with total loss of bladder and urethral innervation. While the operation is often difficult and temporary postoperative urinary retention common, the high continence rate in a particularly difficult group of patients justifies its use over other operative approaches.