Results and complications of the modified Marshall-Marchetti-Krantz procedure

M. Colombo, D. Vitobello, F. Proietti, A. Arreghini, F. Pasta

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: Our aim was to address results and complications of the modified Marshall-Marchetti-Krantz procedure for the treatment of female stress urinary incontinence. Methods: We performed a retrospective analysis of computerized records of all the patients who underwent a modified Marshall-Marchetti-Krantz urethropexy at our department. Subjective and objective functional outcomes were assessed in relation to the postoperative long-term complications eventually determined by the operation. Results: Of the 76 patients operated on between 1983 and 1994, 69 were evaluable and form the basis of this report. Only 14 patients (20%) voided spontaneously by the day of discharge. Overall, resumption of spontaneous voiding took 27.5 ± 30.4 days (range, 4 days to 5 months). Four women received urethral dilation for chronic urinary retention. The mean follow-up was 4.2 ± 3.1 years, ranging from 6 months to 6 years. Subjective and objective cure rates were 84% and 62%, respectively. Objective cure rate was as low as 57% among patients with severe stress incontinence. Respectively only 54% and 38% of patients were subjectively and objectively cured with no postoperative long-term complications. Conclusion: We have abandoned the use of the modified Marshall-Marchetti-Krantz urethropexy because it offers no advantages over other types of surgery, and was accompanied by a considerably high incidence of significant complications.

Original languageEnglish
Pages (from-to)91-96
Number of pages6
JournalItalian Journal of Gynaecology and Obstetrics
Volume10
Issue number3
Publication statusPublished - 1998

Keywords

  • Marshall-Marchetti-Krantz procedure
  • Retropubic, surgery
  • Stress urinary incontinence
  • Urethral hypermobility
  • Urethral profilometry

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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