The effect of pressurization stresses on helical guided waves in a thin-walled fluid-filled pipe is studied by modeling leaky Lamb waves in a stressed plate bordered by fluid. Fluid pressurization produces hoop and longitudinal stresses in a thin-walled pipe, which corresponds to biaxial in-plane stress in a plate waveguide model. The effect of stress on guided wave propagation is accounted for through nonlinear elasticity and finite deformation theory. Emphasis is placed on the stress dependence of the energy velocity of the guided wave modes. For this purpose, an expression for the energy velocity of leaky Lamb waves in a stressed plate is derived. Theoretical results are presented for the mode, frequency, and directional dependent variations in energy velocity with respect to stress. An experimental setup is designed for measuring variations in helical wave energy velocity in a thin-walled water-filled steel pipe at different levels of pressure. Good agreement is achieved between the experimental variations in energy velocity for the helical guided waves and the theoretical leaky Lamb wave solutions.