Videourodynamic assessment of the Stamey procedure for stress incontinence

Fifty-three patients underwent the Stamey procedure after stress incontinence was demonstrated by videourodynamic assessment. It was possible to repeat this assessment in 45 patients post-operatively; 58% were shown to be continent and in 20% the leakage was less. Failed operations were unrelated to...

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Bibliographic Details
Published inBritish journal of urology Vol. 62; no. 6; p. 550
Main Authors English, P J, Fowler, J W
Format Journal Article
LanguageEnglish
Published England 01.12.1988
Subjects
Adult
Aged
Aged, 80 and over
Female
Humans
Middle Aged
Recurrence
Urinary Bladder Diseases - complications
Urinary Incontinence, Stress - physiopathology
Urinary Incontinence, Stress - surgery
Urodynamics
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Summary:Fifty-three patients underwent the Stamey procedure after stress incontinence was demonstrated by videourodynamic assessment. It was possible to repeat this assessment in 45 patients post-operatively; 58% were shown to be continent and in 20% the leakage was less. Failed operations were unrelated to age, weight, parity, degree of bladder neck descent or previous pelvic surgery. Coexisting detrusor instability was not a contraindication to surgery. Delayed voiding was common immediately after surgery but voiding problems were not encountered once micturition had been re-established. Although a significant objective failure rate was demonstrated, the Stamey procedure has many advantages and it can be recommended as first-line treatment in cases of stress incontinence.
ISSN:0007-1331
DOI:10.1111/j.1464-410X.1988.tb04424.x