Comparison of Marshall-Marchetti -Krantz Procedure and Burch colposuspension in the surgical treatment of female urinary incontinence concomitant to hysterectomy

  • Melahat Dönmez
  • Alev Atis
  • Yavuz Aydin
  • Savas Özdemir
  • Özlem Oruç

Turk J Obstet Gynecol 2007;4(4):272-275

OBJECTIVE: To investigate and compare the success rates of Burch and MMK colposuspension operations performed with abdominal hysterectomy after 6 months from the operation. MATERIAL-METHODS: 69 patients who had also genuine stress urinary incontinance diagnosed by urodynamic tests underwent abdominal hysterectomy for different endications and had colposuspension operations with the hysterectomy.35 of them had Burch and other 34 had MMK operation. After 6 months postoperatively, success rates evaluated subjectively by patient complaints and objectively by urodynamic tests. X2 test used for statistical analysis at SPSS 10.0. RESULTS: After 6 months in the Burch group, 14,2% of the patients complained stress incontinence and 11,4% had genuine stress incontinance by urodynamic tests. After six months in MMK group 14,8% of the patients complained stress incontinence and all of them had genuine stres incontinence proven by urodynamic tests. Success rates according to patient complaints in Burch and MMK groups were 85,7% and 85,2% respectively and success rates were 88,6% and 85,2% according to urodynamic tests and no statistical difference was found between two groups. CONCLUSION: After six months postoperatively, there was no difference in the success rates of Burch and MMK operations performed during hysterectomy. Six months postoperatively may be considered as short term follow up,but may give an idea about long term follow up.

Keywords: burch, MMK, Hysterectomy, stress incontinance