Since 1965, the procedure of abdominoperineal urethral suspension has been applied as the sole method of surgical correction in the management of patients suffering from recurrent urinary stress incontinence. During a 15-year period (1965 to 1980), 194 women were selected for this procedure by entirely clinical methods. Ancillary aids to diagnosis were not used. Long-term follow-up indicates that careful selection followed by accurate surgery based upon macroscopic anatomy can produce excellent long-term results. The overall cure rate of 77.5% rises to 84.37% if the patients who have improved are included.

© 1983 The American College of Obstetricians and Gynecologists