The vaginal strips sling operation. An alternative procedure for urinary incontinence.

An alternative approach to the treatment of marked anterior vaginal prolapse and urinary incontinence is presented. Two strips of vaginal skin are used to elevate and suspend the bladder neck and the proximal third of the urethra. Of 82 patients who underwent the operation, 37 had had previous bladder neck repairs for urinary incontinence. A 95.1% success rate was achieved. The procedure is worth considering under certain circumstances.