LONG-TERM RESULTS OF THE STAMEY BLADDER NECK SUSPENSION

DIRECT COMPARISON WITH THE MARSHALL-MARCHETTI-KRANTZ PROCEDURE

CLEMENS, J. QUENTIN
STERN, JEFFREY A.
BUSHMAN, WADE A.
SCHAEFFER, ANTHONY J.

From the Department of Urology, Northwestern University Medical School, Chicago, Illinois
Accepted for publication February 13, 1998.

Journal of Urology 160(2):p 372-376, August 1998.

Purpose

We performed followup of a cohort of women who underwent the Stamey endoscopic needle suspension (group 1) or the Marshall-Marchetti-Krantz vesicourethropexy (group 2) between 1975 and 1983.

Materials and Methods

Telephone interviews were performed to assess current continence status and time to failure. Risk factors for recurrence of incontinence were correlated with long-term results.

Results

Long-term data were obtained for 32 of 41 women (78%) in group 1 and 36 of 54 (67%) in group 2. Range of followup was 9.4 to 19.9 years (median 15.0, mean 15.2) in group 1 and 13.2 to 21.9 (median 16.8, mean 17.0) in group 2. Of group 1 patients 44% remained dry compared to 33% of group 2 patients. Persistent local side effects were reported by 9% of group 1 and 0% of group 2. Urinary urgency was present in 70% of group 1 patients and 23% of group 2. There was no relationship between long-term operative success and age at surgery, degree of preoperative incontinence, parity, obesity, prior incontinence surgery or prior hysterectomy for either procedure.

Conclusions

The Stamey and the Marshall-Marchetti-Krantz procedures yield high initial cure rates with progressive, parallel declines in continence status with time.