title: Transvaginal bladder neck suspension with Cooper's ligament fixation. Long-term urodynamic results.
abstract: OBJECTIVE
  To evaluate the long-term urodynamic efficacy of transvaginal bladder neck suspension with Cooper's ligament fixation.
  
  
  METHODS
  Nineteen women underwent transvaginal bladder neck suspension with Cooper's ligament fixation. Patients underwent complete clinical and urodynamic testing before and four to five years after surgery. Cure was defined as absence of urine leakage with stress maneuvers at cystometric capacity and lack of symptoms of urine loss.
  
  
  RESULTS
  A successful outcome was documented in 12/14 patients. One patient developed de novo detrusor instability, and two had stress incontinence. Five were lost to long-term follow-up.
  
  
  CONCLUSIONS
  Transvaginal bladder neck suspension with Cooper's ligament fixation is an effective surgical option in the treatment of genuine stress incontinence.
authors.affiliation: Department of Obstetrics and Gynecology, University of California School of Medicine, Los Angeles, USA.
authors.forename: J J
authors.initials: JJ
authors.lastname: Klutke
authors.forename: J
authors.initials: J
authors.lastname: Bergman
authors.forename: C G
authors.initials: CG
authors.lastname: Klutke
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008022:Ligaments / Q000601:surgery; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000473:pathology / Q000601:surgery*; D014550:Urinary Incontinence, Stress / Q000503:physiopathology / Q000601:surgery*; D014563:Urodynamics; D013520:Urologic Surgical Procedures / Q000379:methods*; D014621:Vagina