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Longevity of the Marshall-Marchetti-Krantz procedure
P K Hegarty1, P C Power, M F O'Brien
1The Department of Urology, University College Hospital, Galway, Ireland. Paulkhegarty@hotmail.com
Background And Aims:
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.
Material And 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.
Conclusion:
Patients still continent two years after the MMK will maintain continence in the long-term.
