What is a needle bladder neck suspension?
There are various techniques of needle suspensions used for the treatment of stress urinary incontinence, including Pereyra, Stamey, Raz, and Gettis procedures. The basic surgical techniques are the same except some minor modifications. Basically, a small vaginal incision is made around the urethra exposing the supporting tissues of the urethra. Through this vaginal incision, non-absorbable stitches are placed in the supporting tissue next to the bladder neck and proximal part of urethra. The end of these long sutures are then threaded through the end of a long, narrow instrument and pulled back through a small (2 cm) incision over the pubic bone. The sutures are then tied to the layer of strong fascia on top of the abdominal muscles. Whereas the Burch procedure attaches the urethra to an immovable pubic ligament, the vaginal needle suspension operation attaches the urethra to connective tissue and muscles that move and, therefore, can stretch or break the sutures. This stretching and
