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Updated: Oct 13, 2026

Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
The Stamy procedure: a retrospective analysis of clinical outcome in stress incontinence
D S Weerasekera1, K K Gunawardena
1General Hospital, Anuradhapura, Sri Lanka.
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.

