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Stamey‐Martius Procedure for Severe Genuine Stress Incontinence
Author(s) -
GANABATHI K.,
ABRAMS P.,
MUNDY A. R.,
DWYER P. L.,
GLENNING P. P.
Publication year - 1992
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.1992.tb15454.x
Subject(s) - medicine , urinary incontinence , surgery , sling (weapon) , sphincter , stress incontinence , urology
Summary— There are few options now available to treat patients with severe genuine stress incontinence caused by urethral failure. These patients usually have a low maximum urethral closure pressure (< 20 cm of water) and anterior vaginal wall scarring caused by previous surgery. In 32 such patients we used the Martius fat pad insertion procedure, in addition to the Stamey procedure, and achieved a 91% symptomatic success rate over a mean 13‐month follow‐up period. Because of its simplicity, reliability and low morbidity, we recommend this procedure in this difficult group of patients before performing a sling procedure or insertion of an artificial urinary sphincter.