Kato K, Kondo A, Takita T, Gotoh M, Tanaka J, Mitsuya H
Department of Urology, Nagoya University School of Medicine, Japan.
Br J Urol. 1987 Jun;59(6):523-5. doi: 10.1111/j.1464-410x.1987.tb04868.x.
Five incontinent females with neurogenic bladder diseases underwent endoscopic vesical neck suspension (Stamey procedure). Four patients have become dry on clean intermittent catheterisation and one has shown improvement. Bladder capacity was increased to a reasonable size in all patients. There has been no upper tract deterioration during the follow-up period of 3 to 25 months. We believe that the Stamey procedure is useful in alleviating urinary incontinence in neurogenic bladders provided that the bladder is drained regularly by intermittent catheterisation and that low detrusor compliance or detrusor hyper-reflexia is adequately managed.
五名患有神经源性膀胱疾病的尿失禁女性接受了内镜下膀胱颈悬吊术（斯塔米手术）。四名患者通过清洁间歇性导尿实现了无尿失禁，一名患者病情有所改善。所有患者的膀胱容量均增加到了合理大小。在3至25个月的随访期内，上尿路均未出现恶化情况。我们认为，只要通过间歇性导尿定期排空膀胱，并且充分处理低逼尿肌顺应性或逼尿肌反射亢进，斯塔米手术对于缓解神经源性膀胱的尿失禁是有用的。
