Abstract
The repertoire of procedures available for surgical correction of stress urinary incontinence is reviewed from a historical perspective. All of these procedures fall into three broad groups: transvaginal urethrocystopexies, retropubic cystourethropexies including needle suspension operations, and urethrovesical sling procedures. The difficulties and requirements of some procedures are discussed critically. Argument is made that the urogynecologist needs to be familiar with the technical aspects of all urogynecologic procedures. The choice of procedure or combination of operations in any one patient needs to be determined by the specific abnormalities, both urologic and gynecologic, that are present in that individual patient.
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