2021 Volume 17 Issue 1 Pages 115-119
(Purpose)This report reviews two cases of bladder stones 15 and 17 years after the Stamey procedure for stress urinaryincontinence (SUI).
(Case 1) A 72-year-old female with gross hematuria, painful urination and bladder stone. In 1999, she underwent the Stameyprocedure for SUI at another hospital. In 2016, 17 years later, she was referred to our hospital, and underwent transurethralcystolithotripsy. A stone surrounding a GORE-TEX sleeve was removed from the left side of the bladder neck. After that, sheremained symptom-free and continent.
(Case 2) A 72-year-old female with gross hematuria. In 1997, she underwent the Stamey procedure at another hospital. In2010, she was referred to our hospital due to gross hematuria. Exposure of a GORE-TEX sleeve was observed on the rightside of the bladder neck. We endoscopically removed it and the Nylon thread. In 2012, she had gross hematuria again andworsening of urge urinary incontinence (UUI). Then, a stone surrounding a GORE-TEX sleeve was observed on the left sideof the bladder neck. An indwelling urethral catheter was used temporarily due to urinary retention. Later, the stone and theNylon thread was removed endoscopically. After the surgery, urinary retention was relieved, and there was no recurrence ofSUI. However, UUI continued, and pharmacotherapy was necessary.
(Discussion)In the 1980’s, the Stamey procedure was introduced to Japan and became a widespread surgical option for SUI inthe1980’s and 1990’s. Bladder stones are a known postoperative complication of the Stamey procedure with a rate of 0.3%.Physicians should be aware of and attentive to the possibility of bladder stones associated with the Stamey procedure evenafter many years.
