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Videourodynamic Assessment of the Stamey Procedure for Stress Incontinence
Author(s) -
ENGLISH P. J.,
FOWLER J. W.
Publication year - 1988
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1988.tb04424.x
Subject(s) - medicine , contraindication , detrusor instability , surgery , urination , urinary incontinence , urology , urinary system , alternative medicine , pathology
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.