Anterior vaginal wall suspension procedure for stress urinary incontinence associated with variable degrees of anterior compartment prolapse

Stress urinary incontinence is for the most part due to a sudden descent of the urethra pulled open by a dropping vagina which has lost its lateral attachment support during straining efforts. The goal of this procedure is to restore back this vaginal support, thus stabilizing the vaginal plate underneath the urethra and bladder base to prevent this rapid downward process with efforts. Inspired by the Raz bladder neck suspension, this anterior vaginal wall suspension procedure has been part of our practice for several decades. Long-term data is now available, attesting to its durability, safety and efficacy. It is also a very versatile procedure which can be performed along with other vaginal repair procedures, uterine preservation, or autologous fascial sling.