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Retropubic Suspensions

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Female Pelvic Reconstructive Surgery

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Abstract

Retropubic procedures for treatment of stress urinary incontinence due to urethral sphincter incompetence (USI), which were introduced in the middle of the twentieth century, opened a new era in the treatment of this devastating condition. Marshall, Marchetti and Krantz1 reported their first series in 1949, describing the operation as “a simple elevation and mobilization of the bladder neck and urethra by suturing them to the pubis and rectus muscles.” The procedure was first performed on incontinent males following prostatectomy, with good results. However, the rationale of applying retropubic procedures to females with urinary stress incontinence is credited to Bailey2, Green3, and Hodgkinson.4 Burch described a modification to the retropubic procedure and found that he could correct incontinence and cystocele by suturing the paravaginal tissue to the ileopectineal (Cooper’s) ligament.5 He recognized that the support to the urethra could be achieved by elevation of the vaginal fascia lateral to the urethra, and, to avoid the technical difficulty of retaining sutures in the periosteum, inserted the sutures into the ipsilateral ileopectineal ligament, which is better defined.

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Authors
  1. Menachem Alcalay
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  2. Stuart L. Stanton
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Editors and Affiliations

  1. Department of Obstetrics and Gynaecology, St. George’s Hospital Medical School, London, UK

    Stuart L. Stanton FRCS, FRCOG, FRANZCOG (Hon)

  2. Department of Urology, Southwestern Medical Center at Dallas, Dallas, Texas, USA

    Philippe E. Zimmern MD, FACS

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© 2003 Springer-Verlag London Limited

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Alcalay, M., Stanton, S.L. (2003). Retropubic Suspensions. In: Stanton, S.L., Zimmern, P.E. (eds) Female Pelvic Reconstructive Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-0659-3_6

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  • DOI: https://doi.org/10.1007/978-1-4471-0659-3_6

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-85233-362-1

  • Online ISBN: 978-1-4471-0659-3

  • eBook Packages: Springer Book Archive

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