Cooperʹs ligament urethrovesical suspension for stress incontinence

Cooperʹs ligament urethrovesical suspension for stress incontinence was first used in 1958. The series now comprises 143 cases, personally selected, operated upon, and followed. The length of the follow-up has varied between rather wide limits; 56 per cent of cases were seen after the tenth month following the operation, 42 per cent of cases after the twentieth month, and 12 per cent after the sixtieth month. Six cases, 4.2 per cent, were complete failures and 4 cases, 2.8 per cent, were partial failures in regard to stress incontinence. The most challenging complication was enterocele, occurring in 7.6 per cent of cases. Seven, 4.8 per cent, of the patients developing enterocele have been satisfactorily reoperated upon, while 4, 2.8 per cent, remain asymptomatic and have not, so far, required operation. As experience has accumulated, refinements in technique and steps to eliminate complications have been developed