Laparoscopic Bladder Neck Suspension

The authors describe a laparoscopic technique similar to the Marshall-Marchetti-Krantz operation for the correction of true stress incontinence. In the reported experience with 22 patients, the technique was successful in all, although the follow-up is only 9.5 months. Laparoscopic bladder neck suspension is not appropriate in patients with extensive adhesions, a history of sepsis and peritonitis, a dilated large bowel, or an uncorrectable coagulopathy.