Long-Term Results of the Stamey Bladder Neck Suspension Procedure: A Patient Questionnaire Based Outcome Analysis

No AccessJournal of UrologyClinical Urology: Original Article1 May 1997Long-Term Results of the Stamey Bladder Neck Suspension Procedure: A Patient Questionnaire Based Outcome Analysis Stefan Conrad, Angela Pieper, Salvador Fernandez de la Maza, Rainer Busch, and Hartwig Huland Stefan ConradStefan Conrad More articles by this author , Angela PieperAngela Pieper More articles by this author , Salvador Fernandez de la MazaSalvador Fernandez de la Maza More articles by this author , Rainer BuschRainer Busch More articles by this author , and Hartwig HulandHartwig Huland More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)64832-8AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Reported success rates of the Stamey bladder neck suspension procedure vary from 39 to 91%. The disparity is substantially influenced by the methods used to assess the surgical outcome, with best results being found consistently in retrospective chart review studies. We assessed the true long-term outcome of the Stamey bladder neck suspension with a patient questionnaire based outcome analysis using strict definitions for cure and recurrence. Materials and Methods: Of 172 consecutive patients 138 (80.2%) returned a questionnaire designed to assess the outcome of the procedure and the subjective satisfaction with the operative result. To our knowledge we report the longest mean followup for this procedure (66 months). Results: Of 130 evaluable patients with hypermobility or intrinsic sphincter deficiency leading to urinary stress incontinence 65 (50.0%) remained completely continent, 15 (11.5%) never became continent and 50 (38.5%) had recurrence 6 to 90 months after initial operative success. However, approximately two-thirds of the patients believed they were cured or substantially improved more than 5 years postoperatively. Conclusions: 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 quality 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. References 1 : Endoscopic suspension of the vesical neck for urinary incontinence. Surg., Gynec. & Obst.1973; 136: 547. Google Scholar 2 : Endoscopic suspension of the vesical neck for urinary incontinence in females. Report on 203 consecutive patients. Ann. Surg.1980; 192: 465. Google Scholar 3 : Success and patient satisfaction following the Stamey procedure for stress urinary incontinence. J. Urol.1992; 147: 1521. 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Link, Google Scholar From the Department of Urology, Eppendorf University Hospital, University of Hamburg School of Medicine, Hamburg, Germany.© 1997 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byMichl U, Friedrich M, Graefen M, Haese A, Heinzer H and Huland H (2018) Prediction of Postoperative Sexual Function After Nerve Sparing Radical Retropubic ProstatectomyJournal of Urology, VOL. 176, NO. 1, (227-231), Online publication date: 1-Jul-2006.MELTOMAA S, BACKMAN T and HAARALA M (2018) CONCOMITANT VAGINAL SURGERY DID NOT AFFECT OUTCOME OF THE TENSION-FREE VAGINAL TAPE OPERATION DURING A PROSPECTIVE 3-YEAR FOLLOWUP STUDYJournal of Urology, VOL. 172, NO. 1, (222-226), Online publication date: 1-Jul-2004.DIOKNO A, BURGIO K, FULTZ N, KINCHEN K, OBENCHAIN R and BUMP R (2018) Prevalence and Outcomes of Continence Surgery in Community Dwelling WomenJournal of Urology, VOL. 170, NO. 2, (507-511), Online publication date: 1-Aug-2003.CLEMENS J, STERN J, BUSHMAN W and SCHAEFFER A (2018) LONG-TERM RESULTS OF THE STAMEY BLADDER NECK SUSPENSION: DIRECT COMPARISON WITH THE MARSHALL-MARCHETTI-KRANTZ PROCEDUREJournal of Urology, VOL. 160, NO. 2, (372-376), Online publication date: 1-Aug-1998. Volume 157Issue 5May 1997Page: 1672-1677 Advertisement Copyright & Permissions© 1997 by American Urological Association, Inc.MetricsAuthor Information Stefan Conrad More articles by this author Angela Pieper More articles by this author Salvador Fernandez de la Maza More articles by this author Rainer Busch More articles by this author Hartwig Huland More articles by this author Expand All Advertisement PDF downloadLoading ...