Adjusting bladder neck sling length to maximise same-day voiding.

The bladder neck fascial sling may become a more popular procedure if surgical modifications could ensure more rapid postoperative voiding, yet not compromising the 85% long-term cure rate. In a study of 80 women, we found that increasing the distance from the Prolene knot to the rectus fascia, while simultaneously observing the closure of the bladder neck with a cystoscope, resulted in 92% of women voiding the same day and 93% experiencing no stress incontinence at 1 year.