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The use of prophylactic Stamey bladder neck suspension to prevent post‐operative stress urinary incontinence in clinically continent women undergoing genitourinary prolapse repair
Author(s) -
Groutz Asnat,
Gordon David,
Wolman Igal,
Jaffa Ariel J.,
Kupferminc Michael J.,
David Menachem P.,
Lessing Joseph B.
Publication year - 2000
Publication title -
neurourology and urodynamics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 90
eISSN - 1520-6777
pISSN - 0733-2467
DOI - 10.1002/1520-6777(2000)19:6<671::aid-nau4>3.0.co;2-3
Subject(s) - medicine , genitourinary system , urinary incontinence , stress incontinence , surgery , neck of urinary bladder , urology , urinary system , urinary bladder
The present study was undertaken to evaluate the efficacy of Stamey bladder neck suspension in preventing post‐perative stress urinary incontinence in clinically continent women undergoing surgery for genitourinary prolapse. Thirty clinically continent women with severe genitourinary prolapse were found to have a positive stress test with re‐positioning of the prolapse. They all had significant urethrovesical junction hypermobility. In addition to the genitourinary prolapse repair, these patients underwent a prophylactic Stamey procedure to prevent the possible development of post‐operative stress urinary incontinence. The mean duration of follow‐up was 8 ± 4.5 months (range, 3–19 months). Seven (23.30%) patients developed overt post‐operative stress urinary incontinence that was confirmed urodynamically. Eleven (36.7%) other patients denied stress incontinence; however, post‐operative urodynamics demonstrated sphincteric incontinence. Post‐operative complications were uncommon and minor. In conclusion, continent patients with a positive stress test demonstrated on re‐positioning of the prolapse during pre‐operative urodynamic evaluation are considered to be at high risk of developing post‐operative stress urinary incontinence. In these patients, an additional, effective anti‐incontinence procedure should be considered during surgical correction of genitourinary prolapse. The Stamey procedure, although simple and safe, does not appear to be the optimal solution to this clinical problem. Neurourol. Urodynam. 19:671–676, 2000. © 2000 Wiley‐Liss, Inc.