Stress incontinence of urine

Urethrocystographic, clinical and surgical aspects have been studied in 50 premenopausal women with Green's type II stress incontinence. Thirty patients were surgically treated by a retropublic (Marshall-Marchetti-Krantz) procedure and 20 by a vaginal (Kelly-Kennedy) method. The radiology and surgical procedures were performed by the author, always using the same sequence and standardization. The relative position of the vesical angle and the urethral inclination were studied. Twelve months after operation the retropublic technic showed topographic modifications that were statistically more significant that those for the vaginal procedure. No difference was noticed in clinical results for the Kelly-Kennedy and Marshall-MArchetti-Krantz procedures (85% and 80% of safety respectively).