The Stamy procedure: a retrospective analysis of clinical outcome in stress incontinence.
OBJECTIVE
To review the clinical outcome of treatment by the modified Stamy procedure in 26 patients with genuine stress incontinence.


METHODS
A retrospective study of women with stress incontinence who underwent a modified Stamy procedure over a 2-year period between January 1991 and January 1993, of postoperative complications and the success rate three months after surgery.


METHODS
Twenty-six women presenting with symptomatic stress incontinence.


METHODS
All patients underwent a modified Stamy procedure. They were reviewed in the gynaecology clinic after three months.


METHODS
All patients were assessed by clinical examination for postoperative complications, subsequent voiding difficulties, and for recurrence or persistence of incontinence.


RESULTS
The most common complications were retention of urine (23%), infection (19%), postoperative persistent pain (12%), urge incontinence (8%) and primary haemorrhage requiring transfusion (4%). The stress incontinence was subjectively cured in 81% and objectively cured in 72% when examined at three months postoperatively.


CONCLUSIONS
Modified Stamy procedure is a useful operation for women with stress incontinence and it is associated with a low incidence of postoperative complications.
General Hospital, Anuradhapura, Sri Lanka.
D S
DS
Weerasekera
K K
KK
Gunawardena
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*