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The Stamey endoscopic bladder neck suspension in the elderly
M D Griffith-Jones1, P H Abrams
1Department of Urology, Southmead Hospital, Bristol.
British Journal of Urology
|February 1, 1990
Summary
The Stamey procedure improved incontinence in most older women, with few complications. While urethral length increased, pressure and flow rates remained unchanged after the surgery.
Area of Science:
- Urology
- Geriatric Medicine
- Female Pelvic Medicine
Background:
- Urinary incontinence is a common issue in older women.
- The Stamey procedure is a surgical option for stress urinary incontinence.
Purpose of the Study:
- To evaluate the efficacy and outcomes of the Stamey procedure in women aged 65 and older.
- To assess changes in urethral length, pressure, and flow rate post-surgery.
Main Methods:
- The Stamey procedure was performed on 21 women aged 65-81.
- Outcomes were assessed based on cure (completely dry) or significant improvement (≤1 pad/day).
- Urethral length, maximum urethral pressure, and maximum flow rate were measured.
Main Results:
- 17 out of 21 women experienced cure or significant improvement.
- A significant increase in urethral length was observed post-operation.
- Maximum urethral pressure and maximum flow rate did not change significantly.
Conclusions:
- The Stamey procedure is effective in treating stress urinary incontinence in older women.
- The surgery leads to anatomical changes (increased urethral length) without altering urodynamic parameters.
- Complications associated with the Stamey procedure are minimal in this age group.