[Is vesical colposuspension still indicated in female stress urinary incontinence?]

Female stress urinary incontinence may need to be treated surgically following failure of non-surgical treatments. Many techniques are now available and are selected according to the pathophysiology of incontinence. Vesical colpo-suspension is considered to be the reference operation for the surgical treatment of female stress urinary incontinence (SUI). New suburethral sling techniques have been available for several years, such as TVT SPARC, IVS or, even more recently, URATAPE. These new techniques not only allow restoration of continence, but are also minimally invasive and easily reproducible. They also facilitate re-operation in the case of failure or recurrence of incontinence. Currently, although the follow-up of these techniques is only 5 years, they ensure better management of the various types of urinary incontinence (stress, mixed and sphincter incompetence) than vesical colposuspension.