Operative management of stress urinary incontinence

A total of 132 women with stress urinary incontinence underwent thorough radiographic and urodynamic evaluation in private urologic practice. With heavy reliance on the readily available technique of bead-chain cystography to differentiate between types I and II abnormalities, and to demonstrate the extent of bladder neck descent, the surgical success rates were 95.8 per cent over-all and 97.3 per cent using the Marshall-Marchetti-Krantz procedure. Postoperative complications were minimal and infrequent except for urinary retention in 31.7 per cent, which was managed easily by intermittent self-catheterization that allowed early hospital discharge without an indwelling catheter.