MARSHALL-MARCHETTI-KRANTZ OPERATION OR FA SCIAPLASTY IN THE TREATMENTOF RECURRENT INCONTINENCE OF URINE IN WOMEN

In this study, a follow-up examination was carried out, comprising 59 female patients who were operated between the years 1985 and 1991 beca use of recurrent urinary incontinence. We distinguished two different operating methods: 34 women were treated following the Marshall-Marche tti-Krantz operation technique, whereas a fasciaplasty-suspension was employed om 25 patients. At the urodynamic follow-up examination, the patients had experienced an average history of 2 years' recurrent urin ary incontinence. The patients' subjective observation of anamnestic u rinary incontinence was objectified by a clinical cough test, cystoton ometry and sonography of the small pelvis. Making extensive use of the urodynamic examination possibilities showed a 79.4 % improvement foll owing the Marshall-Marchetti-Krantz operation in comparison to a 52 % improvement after the fasciaplasty operation. The operations success i s assessed by evaluation of the depression quotient. Here the Marshall -Marchetti-Krantz operation resulted in a significant improvement. Aft er the fasciaplasty operation, however, this was not found to be the c ase.