Long term results of anterior colporrhaphy with Kelly plication for the treatment of stress urinary incontinence.

OBJECTIVE

To study the five years' outcome of anterior colporrhaphy with Kelly plication for the treatment of stress urinary incontinence

MATERIAL AND METHOD: Fifty two patients who underwent anterior colporrhaphy with Kelly plication with or without posterior colpoperineorrhapy for the treatment of stress urinary incontinence between January 1997 and February 1998 in King Chulalongkorn Memorial hospital were included in the study. All patients were contacted by phone, forty seven patients (90.38%) responded and were willing to participate in the present study. The patients' characteristics, operative data and outcome were reviewed. Questionnaires designed to assess the outcomes of the procedure and incontinence symptoms were given to each patient at the appointment date. Pelvic examination was performed using the Baden halfway classification for genital prolapse grading. Cough test was performed during pelvic examination for the objective demonstration of stress incontinence.

RESULTS

The mean +/- SD of age was 46.68 +/- 8.78 yrs. The authors found that the incidence of post operative urinary retention was 43.3%. Incontinence rates at 1, 2, 3, 4 and 5 years were 0, 8.51%, 21.28%, 29.79% and 46.81% respectively.

CONCLUSION

The present results show the high recurrence rate at the five-year follow up. The authors emphasized the need of long term follow up and pre-operative counseling about the high chance of having recurrence by this operative technique.