Transvaginal bladder neck suspension with Cooper's ligament fixation. Long-term urodynamic results

OBJECTIVE: To evaluate the long-term urodynamic efficacy of transvaginal bladder neck suspension with Cooper's ligament fixation. STUDY DESIGN: 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. CONCLUSION: Transvaginal bladder neck suspension with Cooper's ligament fixation is an effective surgical option in the treatment of genuine stress incontinence.