title: [Initial clinical and cysto-urethral tonometric results with a new modification of the Marshall-Marchetti-Krantz-Operation].
abstract: From January 1976 to July 1978 a modified Marshall-Marchetti-Krantz-procedure for correction of urinary stress-incontinence was performed in 260 patients. A follow-up examination was done in 132 patients 6 weeks after surgery and in 96 pateints after 1 year. Urodynamic measurements were carred out in 66 patients, before and 1 year after after surgery. The incidence of perioperative complications was low, severe complications were found in less than 0.5%. Six weeks after surgery the subjective cure rate was 92%, after 1 year it was 80%. Cystoceles were corrected by the procedure and remained so in 87% one year after the operation. The urodynamic evaluations showed an increase of the maximal urethra-closure-pressure and, above all, a marked and significant improvement of the urethra-stress-profile. In 6 patients a motoric urge-incontinence was found at the follow-up examination after 1 year. The results of the new modification of the Marshall-Marchetti-Krantz-procedure are similar to those described in the literature after other operations for urinary stress-incontinence.
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D008365:Manometry; D008722:Methods; D008875:Middle Aged; D011183:Postoperative Complications; D013997:Time Factors; D014521:Urethra / Q000503:physiopathology; D001743:Urinary Bladder / Q000503:physiopathology; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014563:Urodynamics
vernacular_title: Erste klinische und zystourethrotonometrische Ergebnisse nach einer neuen Modifikation der Marshall-Marchetti-Krantz-Operation.