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Follow-up of a new modification of the Marshall-Marchetti-Krantz (MMK) procedure

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Summary

Clinical and urodynamic effects of a new modification of the Marshall-Marchetti-Krantz procedure for correction of urinary stress incontinence were studied 3–6 years after surgery. A clinical follow-up was made in 239 patients, and 39 had a urodynamic assessment. The subjective cure rate for incontinence was 69% while in another 20% there was improvement. Symptoms caused by the prolapse were relieved in 83%. The incidence of late complications was below 1%. Urodynamic measurements indicated a cure rate of 66%. Pressure transmission to the urethra was significantly improved. At follow-up, the functional length of the urethra and urethral closure pressure values were significantly higher than before operation. The incidence of urge (incontinence) and voiding difficulties was unchanged.

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  1. Department of Obstetrics and Gynecology, University of Tübingen, D-7400, Tübingen, Germany

    R. C. Briel

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Briel, R.C. Follow-up of a new modification of the Marshall-Marchetti-Krantz (MMK) procedure. Arch. Gynecol. 239, 1–9 (1986). https://doi.org/10.1007/BF02134281

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