A follow-up study of the Marshall-Marchetti-Krantz vesicourethral operation for female incontinence.

A Follow-up study on 65 consecutive patients who underwent vesicourethral suspension (Marshall-Marchetti-Krantz' operation) in the period 1961-70 was carried out. Indications and results were evaluated. Forty-one patients completed the investigation. Twenty-five patients were operated on correct indication (pure stress incontinence). Twenty patients (80%) were cured and the vaginal examination were in accordance to this result.--Unfortunately several side-effects to this operation were observed (primarily infravesical obstruction, urge phenomenon and dyspareunia). Therefore posterior suspension of the bladder is recommendable. Carefully history, cystometry and colpo-cystourethrography seems necessary in the evaluation of female incontinence.