A questionnaire‐based outcome analysis of the Stamey bladder neck suspension procedure for the treatment of urinary stress incontinence: the Hannover experience

Abstract

Objectives To evaluate the long-term continence rate, frequency of complications other than urinary retention was significant during and after surgery, at 27%, including subjective satisfaction and therapyassociated morbidity, of patients undergoing Stamey and in accord with the complication rate reported in earlier studies. bladder neck suspension. Patients and methods Eighty-five women (median ageConclusions Compared with other bladder neck suspension procedures, e.g. Burch colposuspension, the 55 years, range 30-85) with urinary stress incontinence treated by Stamey bladder neck suspension at Stamey procedure appears to be associated with a higher frequency of postoperative recurrent urinary our institution between 1987 and 1995 were evaluated using an anonymous questionnaire over a mean stress incontinence. Therefore, the Stamey procedure should only be used if the patient demands a minimally (range) follow-up of 61 (13-93) months. Results Of the 85 patients, 44 (52%) reported an invasive surgical procedure for bladder neck suspension. Although #60% of patients were satisfied with improvement in clinical symptoms at the evaluation and 29 (34%) were completely continent after the the durable improvement in clinical symptoms, it is appropriate to inform patients before surgery of the Stamey procedure. However, 53 (62%) patients reported subjective satisfaction with the result, because high recurrence rate after Stamey bladder neck suspension. they had a durable improvement in continence for a mean (range) of 44 (10-79) months. There was noKeywords Stamey bladder neck suspension, questionnaire-based analysis, long-term continence, compli-correlation between the number of previous urogynaecological operations undergone by the patients and cations, subjective satisfaction the success of the Stamey procedure. However, the like colporrhaphy or pubococcygeal plasty are associated

Tension-Free Vaginal Tape Procedure: An Effective Minimally Invasive Operation for the Treatment of Recurrent Stress Urinary Incontinence?

“…The following cure rates after invasive continence procedures (excluding short-term results) have been reported: bladder buttress 37-84% [1,2], Marshall-Marchetti-Krantz operation 58-75% [1,2], colposuspension 55-90% [1,3,4], and bladder sling 66-85% [1]. For the less invasive procedures such as needle suspensions, long-term results were 6-68% [1,5] and for injectables 7-86%, when the mean follow-up period ranged from 1 to 46 months [1,6]. After performed continence surgery (53% of patients were treated with colposuspension, 30% with anterior colporrhaphy, 13% with needle suspension, and 5% with other surgical methods), a cohort study showed an improvement rate of 87%, but a cure rate of only 28% [7].…”

Long-Term Results of Transvaginal Colposuspension for the Treatment of Genuine Stress Incontinence Combined with Vaginal Hysterectomy

“…Although the results of our technique showed a satisfactory success rate at 5 years of follow-up, we agree that it is appropriate to inform patients before surgery about the recurrence rate of this operation [21]. We like to notice that appropriate patient selection is very important for maximizing a good final outcome.…”

Endoscopic Bladder Neck Suspension Revisited: Long–Term Results of Stamey and Gittes Procedures

“…There have been few papers which have used patient questionnaires as an instrument to determine outcomes [10, 14, 15, 16]. Kuczyk et al [15]showed that only 52% of 85 patients reported an improvement in their symptoms after a Stamey procedure and that only 34% were dry.…”

“…Kuczyk et al [15]showed that only 52% of 85 patients reported an improvement in their symptoms after a Stamey procedure and that only 34% were dry. Generally, questionnaires reveal lower long–term success rates than retrospective reviews of the medical records [14].…”