The plethora of treatment modalities available for the treatment of female stress urinary  incontinence reflects the uncertainty in the pathophysiology of this condition and the mechanism  of cure. No single treatment method is suitable for all patients. For best results, many factors  must be considered before choosing the treatment method most suited to the particular  patient. This review examines the various treatment options available and attempts to set out  criteria for choice of treatment. The role of conservative treatment has been deliberately  highlighted especially for young and well motivated women with mild to moderate urinary stress  incontinence before surgical treatment is used. The role and limitations of well established  surgical procedures like Burch colposuspension and urethroplasty and the most recently  introduced procedures like TVT/TOT,collagen implants ,laparascopic colposuspension and  the role of artificial urinary sphinter are also examined DOI: http://dx.doi.org/10.3329/bjog.v26i1.13759 Bangladesh J Obstet Gynaecol, 2011; Vol. 26(1) : 37-44

In this case we report a 27 year old primigravida having