The laparoscopic-assisted extraperitonel procedure was tolerated well by all of the patients. The average operative time was 110 minutes (range 95 to 120). Postoperatively, the patients had minimal pain. Foley catheters were removed on postoperative day 2. The average length of hospitalization was 2 days. Follow up ranged from 8 to 23 months, with an average of 17 months. Seven patients are currently voiding well with no evidence of incontinence. A single patient reports mild, but improved, stress incontinence.