Influence of following Green's criteria for urinary stress incontinence surgical procedures

A series of 161 patients with urinary stress incontinence and who underwent either Kelly urethral plication or Marshall-Marchetti procedures were reviewed in order to evaluate the usefulness of following Green's criteria in the selection of type of surgery for stress incontinence. One-year follow-up failure rate was higher in patients with type I stress incontinence (23%) than in type II stress incontinence (15.5%), and also when the choice of surgical approach did not follow Green's criteria; statistical analysis of these data showed that differences did not reach a significant level (P greater than 0.05).