Stamey needle suspension for stress urinary incontinence. A prospective study of 40 patients.
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 greater than 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.
Wujanto
R
R
Department of Urology, Stepping Hill Hospital, Stockport.
O'Reilly
P H
PH
D000328:Adult; D000368:Aged; D004724:Endoscopy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008722:Methods; D008875:Middle Aged; D009339:Needles; D011446:Prospective Studies; D001743:Urinary Bladder / Q000601:surgery*; D014550:Urinary Incontinence, Stress / Q000601:surgery*