Transvaginal bladder neck suspension to Cooper's ligament: A review of theliterature

The aim of this paper was to review the surgical technique and clinical exp erience of transvaginal bladder neck suspension to Cooper's ligament. A com puterized MEDLINE search identified five English-language articles publishe d between January 1990 and December 1998. The success rate obtained with th is procedure is comparable to that obtained with the traditional Burch proc edure and ranges between 86.4% and 100%. Postoperative de novo detrusor ins tability occurs infrequently, with an incidence ranging between 0% and 20%. Complications occur infrequently and postoperative voiding dysfunction is rare. Limited postoperative urodynamic data are available. Transvaginal sus pension of the bladder neck to Cooper's ligament combines the technique of a needle suspension with the anatomic effect of the Burch procedure.