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  • Title: Longevity of the Marshall-Marchetti-Krantz procedure.
    Author: Hegarty PK, Power PC, O'Brien MF, Bredin HC.
    Journal: Ann Chir Gynaecol; 2001; 90(4):286-9. PubMed ID: 11820418.
    Abstract:
    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.
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