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The Stamey operation for correction of genuine stress incontinence in the elderly woman
Author(s) -
PEATTIE A. B.,
STANTON S. L.
Publication year - 1989
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1989.tb03359.x
Subject(s) - detrusor instability , medicine , urge incontinence , stress incontinence , urology , sphincter , urethral sphincter , urinary incontinence , surgery
Summary. Forty‐four elderly women underwent the Stamey procedure for urethral sphincter incompetence; six had coincidental detrusor instability. All had pre‐ and postoperative urodynamic assessment. At follow‐up, 15 patients continued to complain of stress incontinence and 11 of urge incontinence. Overall, 27 patients still had objective evidence of genuine stress incontinence, and 15 had evidence of detrusor instability. Although the operation has minimal operative and postoperative morbidity, we do not consider its success rate satisfactory for use in the elderly.