Success and Patient Satisfaction following the Stamey Procedure for Stress Urinary Incontinence

Abstract

A long-term followup survey to determine patient satisfaction following Stamey endoscopic vesicourethral suspension was obtained by means of a mail-in questionnaire. A total of 284 charts was reviewed and surveys were mailed, 17 of which were returned for lack of a forwarding address. A total of 192 replies was received for a 72% response rate. Overall improvement was found to be 82%, with approximately half of these patients found to be totally dry. When asked if they would be willing to go through the experience again 65% said they would. Criteria for the success or failure of the procedure were determined, weighing the degree of dryness against the previously mentioned question. With these criteria there was an overall success rate of 73%. Pulmonary disease, body weight greater than 86 kg., prior Marshall-Marchetti-Krantz procedure and concomitant abdominal hysterectomy lowered the success rate. Prior hysterectomy and concomitant vaginal hysterectomy had no influence on the success rate.

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.…”

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

“…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.…”

Polytetrafluoroethylene patch sling for type 2 or type 3 stress urinary incontinence

“…1,2 However, recently several reports have revealed disappointing long-term results. [3][4][5][6] On the other hand, the pubovaginal sling procedure has excellent longterm results because of its durability and has been regarded as first line treatment for all types of stress urinary incontinence. [7][8][9] We analysed surgical outcomes in the patients undergoing the pubovaginal sling procedure and compared them with those in patients undergoing the Gittes procedure.…”