[Clinical results of the modified Marshall-Marchetti procedure in female urinary incontinence].
We considered 49 patients suffering from urinary stress incontinence, operated from January 1984 to December 1989 by Marshall-Marchetti modified after Symmonds procedure. 13 patients had one or more previous surgical procedures. We made urodynamic preoperative tests and a stress test (after Ferrari) in all our cases. We obtained: complete recovery in 80% of our cases, improvement in 14% and failure in 6%; particularly the recovery percentage in our patients operated for the first time was the 97.2%; in the recurrences we had complete success in 46%, an improvement in 38.5% and surgical failure in 15.5%. Complications were observed in 1 patient affected by pubic osteitis, treated with medical therapy. Only 3 patients had an incomplete bladder emptying one year after the surgical operation, with value of the post micturitional residual volume of about 1/3 of the maximal cystometric capacity.
Ferrari
A
A
1 Clinica Ostetrico-Ginecologica, Università degli studi di Milano.
Frigerio
L
L
Gandini
L
L
Daccò
R
R
DiTerlizzi
M
M
Dindelli
M
M
Guarnerio
P
P
D000328:Adult; D000368:Aged; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D008875:Middle Aged; D011184:Postoperative Period; D012008:Recurrence; D012086:Reoperation; D014550:Urinary Incontinence, Stress / Q000503:physiopathology / Q000601:surgery*; D014563:Urodynamics
Risultati clinici della Marshall Marchetti modificata nell'incontinenza urinaria femminile.