[Four-corner urethro-vesical suspension with vaginal islands: presentation of a new surgical technic for the correction of urinary incontinence and initial experience with 49 patients].

Obtained results were excellent. If it is considered that from the total of patients received during 45 months, candidates for surgery were 86 and 37 of them did not meet the inclusion requirements, this means that the treated group with the designed technique, is very selective. In this technique the same resistant structures were used, to perform the suspension as with endopelvic fascia, pubo-urethral ligaments, and besides an element considered as the most resistant, was added: an island of vaginal wall, complete size.