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The suprapubic approach in the surgical treatment of female stress incontinence.

Stress incontinence in women is a frequent and humiliating complaint, the aetiology and pathogenesis of which are not always apparent. Routine investigation followed by standard vaginal or abdominal surgical procedures will cure most uncomplicated cases. However, in complicated cases a more sophisticated pre-operative evaluation and a more versatile surgical approach are indicated in order to restore the changed anatomy and function.