Should Stamey colposuspension be our primary surgery for stress incontinence?

OʼSullivan, David; Chilton, Chris; Munson, K. W.

doi:10.1111/j.1464-410x.1995.tb07265.x

Cited by 39 publications

(23 citation statements)

References 24 publications

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“…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. The results of O’Sullivan et al [5]were much different. They reported successful results in 70% of the patients immediately after surgery, which declined to 34% 1 year after surgery and to 18% 5 years or more after the operation.…”

Section: Introductionmentioning

confidence: 55%

“…Almost all failures were observed within 2 years after surgery. O’Sullivan et al [5]reported on 70% success immediately after surgery which declined to 34% at 1 year and to 18% 5 years or more after surgery. Stamey [10]suggested that modifications of the original technique such as substitution of the polypropylene (Dacron) for polytetrafluoroethylene (Gore-Tex) sleeves were responsible for these unusually poor results.…”

Section: Discussionmentioning

confidence: 99%

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The Stamey Procedure for Stress Incontinence: Long-Term Results

et al. 1998

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Section: Introductionmentioning

confidence: 55%

Section: Discussionmentioning

confidence: 99%

The Stamey Procedure for Stress Incontinence: Long-Term Results

et al. 1998

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“…In the past, obesity may have had an impact on the results of the retropubic open or laparoscopic operation for SUI [6]. In the tension-free vaginal tape (TVT) era, on the other hand, obesity may not influence the outcomes because the procedure is less invasive [4,[7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Influence of Obesity on Short-term Surgical Outcome of the Transobturator Tape Procedure in Patients with Stress Urinary Incontinence

Tchey

Kim

et al. 2010

Int Neurourol J

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Purpose: The purpose of our study was to evaluate the influence of obesity on clinical characteristics, quality of life (QoL), and outcomes in patients with stress urinary incontinence (SUI) who underwent the transobturator tape (TOT) surgery. Materials and Methods: The medical records of SUI patients who underwent the TOT operation from January 2007 to February 2009 were retrospectively reviewed. Patients with any neurologic diseases that affect the voiding pattern were excluded, and 107 patients were enrolled. The patients were divided into nonobese (BMI<25) and obese (BMI≥25) groups. The preoperative evaluation consisted of history taking, physical examination, cystometrography, 3-day frequency-volume chart, King's Health Questionnaire (KHQ), and symptom perception scale questionnaires. Results:The nonobese group consisted of 55 (51.4%) patients and the obese group of 52 (48.6%). The median age was 49.0 (range, 30.8-73.5) years in the nonobese group and 52.7 (range, 35.5-73.5) years in the obese group (p>0.05). The obese group showed a higher SUI symptom grade, urethral hypermobility, urgency, and urge incontinence scale than did the nonobese group (each p<0.05). Neither the domains of the KHQ nor the items on the 3-day frequency-volume chart differed between the two groups (each p>0.05). After the operation, the symptom scales and parameters in the 3-day frequency-volume chart of the obese group were similar to those of the nonobese group (each p>0.05). The objective success, recurrence, and complication rates at 1year were similar in the two groups (each p>0.05). Conclusions: Obese SUI patients had worse SUI symptom grade, urgency, and urge incontinence symptoms than did nonobese patients. However, surgical correction by the TOT operation could restore the symptoms and voiding parameters as effectively in obese patients as in nonobese patients.

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“…Brieger and Korda [2] reported an increased failure rate among obese women who underwent bladder neck needle suspension and retropubic procedures. O'Sullivan et al [3] demonstrated poor outcomes in obese women who underwent needle suspension. According to a recent publication by Lovatsis et al [13], the traditional surgeries have variable success rates in these women, are more technically difficult, and may carry increased morbidity.…”

Section: Discussionmentioning

confidence: 99%

“…The influence of obesity on the outcome of surgical treatment is unclear. While some authors report high failure and postoperative complication rates [2,3], others do not consider obesity to be a risk factor with regard to failure or surgical complications [4,5].…”

Section: Introductionmentioning

confidence: 99%

Does patient weight influence the outcome of the tension-free vaginal tape procedure?

et al. 2006

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Urinary stress incontinence (USI) is more common in obese women. The influence of obesity on surgical treatment for USI is controversial. We sought to determine whether obesity affects the outcome of the tension-free vaginal tape (TVT) procedure. The retrospective data of 81 women that underwent the TVT procedure between 04/1998 and 12/2000 were studied. The study cohort women (aged 37-87 years) were subdivided into three groups according to body mass index (BMI): normal (BMI = <25)-group 1, overweight (BMI = 25-29)-group 2, and obese (BMI = >30)-group 3. All women underwent preoperative examinations, including detailed medical history and physical examination with stress tests and urodynamic studies. Follow-up included post-procedure check-up meetings at 1, 3, 6, and 12 months and once yearly thereafter (minimal follow-up = 52 months). Intra-and postoperative complications and success rates were compared among the three groups. Twenty-six (32.1%) women had normal BMI, 21 (25.9%) were overweight, and 34 (42%) were obese. Six intraoperative complications were recorded, including 5 bladder injuries and 1 urethral injury, none of which required surgical re-intervention. Eight reported postoperative complications included 1 bladder erosion, 3 urethral obstructions, 4 vaginal erosions (1 patient suffered from concomitant urethral obstruction and vaginal erosion). Five patients diagnosed with postoperative surgical complications underwent corrective surgery. There were no significant intergroup differences among the complication rates. The success rates were 84.6%, 81%, and 79.4% in groups 1, 2, and 3 respectively. Increased BMI may have a slight negative impact on TVT results, but the long-term success rate of 79.4% in obese women and the lack of any direct correlation between BMI and complications sanction their undergoing TVT.

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Should Stamey colposuspension be our primary surgery for stress incontinence?

Abstract: The Stamey vesical neck suspension has a good early success rate but the results in the longer term are not acceptable. This operation should not be used as a first-line treatment for stress incontinence and should be reserved for specific patient subgroups.

Cited by 39 publications

References 24 publications

The Stamey Procedure for Stress Incontinence: Long-Term Results

The Stamey Procedure for Stress Incontinence: Long-Term Results

Influence of Obesity on Short-term Surgical Outcome of the Transobturator Tape Procedure in Patients with Stress Urinary Incontinence

Does patient weight influence the outcome of the tension-free vaginal tape procedure?

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