Readjusting the loop tension for resolving postoperative urination difficulties and recurrent stress incontinence after stamey suspension of the vesical neck

Abstract

Excessive tension of the vesical neck sutures produces postoperative urinary retention or difficulties in urination after anti-stress urinary incontinence operations. We have demonstrated that these complications after the Stamey operation and its modifications can be resolved by readjusting the suspending loops to an adequate tension under local anesthesia, since these operations use non-absorbable monofilament loops for the suspension of the vesical neck. The technique was also applied for the correction of insufficient suspension which caused persistent or recurrent stress incontinence after these operations. The procedure was performed for 7 patients with postoperative difficulties in urination, and for 7 with postoperative recurrence of stress incontinence, and all of them recovered normal urination without stress incontinence. These procedures have been performed successfully even 27 months after a Stamey operation. These cases suggest that a recurrence of stress incontinence, even several years after the Stamey operation, can be cured with our procedure, as long as the supporting tissue of the suspending loops is not damaged.