Endoscopic bladder neck suspension (Stamey-Pereyra) in female urinary stress incontinence. Long-term follow-up of 66 patients.

Of 86 consecutive female patients with urinary stress incontinence treated by endoscopic bladder neck suspension according to the method of Stamey and Pereyra, 56.1% have already had at least one unsuccessful operation. After following up 66 patients (76.7%) for a mean of 4 years (minimum 20 months), 90.9% were free of symptoms or at least markedly improved. The main complications were residual urine of more than 100 cm3 in 3 patients (4.5%) and fistulas around one or both of the suspension sutures in 10 patients (15.2%). 2 of the 3 patients with obstruction remained continent when one of the suspension sutures was removed under local anesthesia. 8 of the 10 in whom one (n = 7) or both (n = 3) suspension sutures were removed because of fistulas remained continent. Long-term results are excellent, even in patients with previous operations.