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OPERATIVE MANAGEMENT RESULTS OF THE FEMALE URINARY INCONTINENCE T R E A T E D BY THE MARSHAL-MARCHETTI-KRANTZ TECHNIQUE

Recently, urinary incontinence (UI) is one of the most frequent diseases and reasons for operative intervention in gynecological practice. Although 8-9 etiological variations and about 50 kinds of operations for U I correction are known, one of the most effective technique treating the most frequent type urinary stress incontinence (USI) is the method of MarshalMarchetti-Krantz (MMK) described in 1949 (cited after 2). Symonds et al. (1981) report the same technique applied to 50 patients, 38 of which with USI . It is to be noted that 25 of these patients have undergone a total of 40 gynecological operations without any improvement prior to this study (6). Excellent results are obtained in 81 per cent of patients operated (6). Since then there are numerous communications in the literature available, concerning successful operations performed by using of this technique. The relative share of favourably influenced patients varies between 80 and 97 per cent when immediate results are concerned (3-5). The aim of the present investigation is to follow-up the results from the operative treatment of female U I after MMK technique in combination with colpoperineolevatorplastics while in younger women uterus is reserved together with an abbreviation of sacroidal ligaments of the uterus.