ObjectiveThe objective of this study was to evaluate the pubic bone suburethral stabilization sling procedure as a treatment for recurrent urinary incontinence.MethodsThe procedure was performed from August 1990 through August 1994 in 105 patients with recurrent stress incontinence after ineffective previous surgery for incontinence. The patients were followed for 4 to 8 years. The technique involved placing a suburethral inorganic mesh patch at the junction of the upper one third and the lower two thirds of the urethra and securing it with titanium bone screws to the posteroinferior pubis transvaginally for site-specific urethral support and stabilization of normally positioned continence anatomy.ResultsOne hundred percent of patients fulfilled the subjective criteria that were determined for treatment success.ConclusionThe pubic bone suburethral stabilization sling operation can be performed with minimum morbidity. Gynecologists familiar with transvaginal anterior colporrhaphy should have little problem learning this technique.