Videourodynamic assessment of the Stamey procedure for stress incontinence.
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.
English
P J
PJ
Department of Urology, Royal Infirmary, Edinburgh.
Fowler
J W
JW
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008875:Middle Aged; D012008:Recurrence; D001745:Urinary Bladder Diseases / Q000150:complications; D014550:Urinary Incontinence, Stress / Q000503:physiopathology / Q000601:surgery*; D014563:Urodynamics; D014741:Video Recording