title: Longevity of the Marshall-Marchetti-Krantz procedure.
abstract: OBJECTIVE
  The Marshall-Marchetti-Krantz procedure (MMK) is a vesico-urethral suspension, for the correction of urethral hypermobility in women with stress urinary incontinence. This study aims to describe the long-term outcome of the procedure.
  
  
  METHODS
  40 women with stress incontinence underwent the MMK. All operations were performed by one surgeon. Analysis of patients' notes yielded the early continence rate and perioperative morbidity. Long-term outcome was measured by means of a postal questionnaire with telephone contact to ensure maximum uptake.
  
  
  RESULTS
  The immediate continence rate was 82%. Continence rates at up to 22 years follow-up (mean 8.5 years) is 61%. All failures occurred within 2 years of the operation.
  
  
  CONCLUSIONS
  Patients still continent two years after the MMK will maintain continence in the long-term.
authors.affiliation: The Department of Urology, University College Hospital, Galway, Ireland. Paulkhegarty@hotmail.com
authors.forename: P K
authors.initials: PK
authors.lastname: Hegarty
authors.forename: P C
authors.initials: PC
authors.lastname: Power
authors.forename: M F
authors.initials: MF
authors.lastname: O'Brien
authors.forename: H C
authors.initials: HC
authors.lastname: Bredin
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery*; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000009:adverse effects