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Related Experiment Videos

Modified Stamey procedure for bladder neck suspension.

D J Jones1, P J Shah, P H Worth

  • 1St Peter's Hospital, Institute of Urology, London.

British Journal of Urology
|February 1, 1989
PubMed
Summary
This summary is machine-generated.

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Endoscopic bladder neck suspension (EBNS) effectively treats stress incontinence, with 86% of patients experiencing symptom resolution or improvement. This procedure is a top choice for primary cases and beneficial for those with prior pelvic surgery.

Area of Science:

  • Urology
  • Gynecology

Background:

  • Stress urinary incontinence (SUI) significantly impacts quality of life.
  • Previous pelvic surgeries can complicate SUI treatment.

Purpose of the Study:

  • To evaluate the efficacy and safety of endoscopic bladder neck suspension (EBNS) for treating stress incontinence.
  • To assess outcomes in patients with and without prior pelvic surgery.

Main Methods:

  • Retrospective review of 76 patients undergoing EBNS for SUI.
  • Pre-operative video-urodynamic studies performed in 71 patients.
  • Analysis of complication rates, success rates, and patient history.

Main Results:

  • Overall success rate (cure or marked improvement) was 86%.

Related Experiment Videos

  • Patients without prior pelvic surgery had a 100% success rate.
  • Patients with prior pelvic surgery had an 80% success rate, with all failures occurring in this group.
  • Overall complication rate was 46%, with 16% experiencing infection.

    • Conclusions:

    • EBNS is a highly effective treatment for primary stress incontinence.
    • EBNS offers significant benefits for patients with a history of previous pelvic surgery.
    • The procedure demonstrates a favorable success rate despite a notable complication rate.