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Stamey Needle Suspension for Stress Urinary Incontinence: A Prospective Study of 40 Patients
Author(s) -
WUJANTO R.,
O'REILLY P. H.
Publication year - 1989
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.1989.tb05156.x
Subject(s) - medicine , urinary incontinence , detrusor instability , surgery , urinary system , prospective cohort study , stress incontinence , neck of urinary bladder , urinary bladder , urology
Summary— A series of 40 consecutive patients with proven stress urinary incontinence underwent Stamey endoscopic bladder neck suspension. There were 5 cases of detrusor instability and the results were poor in this group. Excluding these patients, 77% were cured and 12% reported significant improvement. There were 4 unpredictable failures; all but 1 occurred within 3 months of surgery and the fourth before 6 months. There were no late failures up to the mean follow‐up period of 21 months (range 9–33 months; 35 cases > 12 months); 3 of the failures had the same procedure repeated but it was again unsuccessful. The Stamey procedure is quick, entails minimum high dependency nursing and has a short hospital stay (mean 7 days). As assessed in the medium term, it represents a useful addition to the surgical procedures available for the relief of stress urinary incontinence.