The Stamy procedure: a retrospective analysis of clinical outcome in stress incontinence.

ABSTRACT

OBJECTIVE: To review the clinical outcome of treatment by the modified Stamy procedure in 26 patients with genuine stress incontinence. DESIGN: A retrospective study of women with stress incontinence who underwent a modified Stamy procedure over a 2-year period between January 1991 and January 1993, of postoperative complications and the success rate three months after surgery. SUBJECTS: Twenty-six women presenting with symptomatic stress incontinence. INTERVENTIONS: All patients underwent a modified Stamy procedure. They were reviewed in the gynaecology clinic after three months. MAIN OUTCOME MEASURES: All patients were assessed by clinical examination for postoperative complications, subsequent voiding difficulties, and for recurrence or persistence of incontinence. RESULTS: The most common complications were retention of urine (23%), infection (19%), postoperative persistent pain (12%), urge incontinence (8%) and primary haemorrhage requiring transfusion (4%). The stress incontinence was subjectively cured in 81% and objectively cured in 72% when examined at three months postoperatively. CONCLUSIONS: Modified Stamy procedure is a useful operation for women with stress incontinence and it is associated with a low incidence of postoperative complications.