Long-Term Results of the Stamey Bladder Neck Suspension Procedure

Abstract

Despite the considerable failure rate, the substantial improvement in the quality of life of almost two-thirds of the patients during long-term followup and the lack of superior techniques qualify the Stamey bladder neck suspension as a treatment of choice for urinary stress incontinence in women. We strongly emphasize the need for standardized questionnaire based outcome analyses for the evaluation of incontinence surgery.

The Stamey Procedure for Stress Incontinence: Long-Term Results

“…After 10 years of follow-up, however, the success rate declined to 33.3%. Conrad et al [2]evaluated the results of the Stamey operation in 130 patients after a mean follow-up of 5.5 years. 50% of the patients were cured of stress incontinence and 38.5% had recurrent stress incontinence after an initial operative success.…”

“…The procedure is simple and short, it does not require a laparotomy, and it has a low complication rate. Unfortunately there are only a few articles showing the long-term results of the Stamey procedure [1, 2, 3]. Stamey [4]reported that, in a group of 203 women who had at least 6 months of follow-up after the operation, the cure rate was 91% and that only a few reoperations were done between the 7th and 12th postoperative years.…”

Long-Term Subjective Results of Marshall-Marchetti-Krantz Procedure

“…In primary stress incontinence with hypermobility we prefer the Burch colposuspension to the MMK procedure, while the sling procedure is our choice in stress incontinence without hypermobility or in the cases of recurrence. After a 3-year experience with endoscopically controlled needle bladder neck suspension (Gittes and Stamey) we virtually no longer perform this type of procedure as reported long-term results are not better than the MMK procedure (33–63% after 3–10 years) [14, 21, 22] but we observed a high intraoperative complication rate. Our current strategy seems to be in concordance with the findings of Jarvis [23].…”

“…Subjective assessment of surgical treatment of stress urinary incontinence by mailed questionnaires was used in the 1990s for evaluation of the Stamey needle procedure and modified Pereyra procedure’s results [11, 12, 14] and pubovaginal sling [15]. In 1996, Zorzos and Paterson [13] applied this method to evaluate the effectiveness of the MMK procedure.…”

“…and subjective. Some authors have recently emphasized the role of subjective evaluation conducted by the means of mailed questionnaires [11, 12, 13, 14, 15]. We decided to apply this method in our investigation to evaluate long-term results (i.e.…”