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KMID : 0616619970030020525
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Journal of Soonchunhyang Medical College
1997 Volume.3 No. 2 p.525 ~ p.532
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The Experience of Stamey operation for female stress urinary incontinence
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Abstract
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The Stamey bladder neck suspension have been performed for female stress incontinence in Soonchunhyang University Hospital from January 1990 to May 1994. This procedure was introduced by Stamey, varying degrees of the success have been reported ranging from 61% to 91% in contemporary series. Someone reported the high recurrence rate with long-term follow-up. Among the 36 patients who received Stamey procedure, 28 patients(78%) received anterior colporrhaphy for concomitant cystocele simultaneously. The mean follow-up period was 41.48.6 months, the patient´s data were gathered by chart review and the subjective success rate was obtained by questionnaire survey.
Urinary retention was the major complication in 8(22.2%), de novo urgency occurred in 4(11%), protracted suprapubic pain occurred in 7(19%). The 20(56%) of the 36 patients were complete dry and 10(28%) were improved. The changes of success rate related to the time of follow-up were; 94.4% immediate after surgery, 88.9% at 6 month, 86.1% at 12 month, 83.3% at 1-5 year. The majority of the failure occurred in the early postoperative period. The 27(90%) of the 30 patients success group received anterior colporrhaphy for concomitant cystocele simultaneously during the Stamey operation. Our success rate was slightly higher than contemporary series, it was suggested that supporting the midurethral segment by anterior colporrhaphy with bladder neck suspension might be the contributing factor for increasing the success rate, but more follow up is warranted.
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