A follow-up study of the Marshall-Marchetti-Krantz vesicourethral operation for female incontinence.
A Follow-up study on 65 consecutive patients who underwent vesicourethral suspension (Marshall-Marchetti-Krantz' operation) in the period 1961-70 was carried out. Indications and results were evaluated. Forty-one patients completed the investigation. Twenty-five patients were operated on correct indication (pure stress incontinence). Twenty patients (80%) were cured and the vaginal examination were in accordance to this result.--Unfortunately several side-effects to this operation were observed (primarily infravesical obstruction, urge phenomenon and dyspareunia). Therefore posterior suspension of the bladder is recommendable. Carefully history, cystometry and colpo-cystourethrography seems necessary in the evaluation of female incontinence.
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D014521:Urethra / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery*; D014550:Urinary Incontinence, Stress / Q000601:surgery*