?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=Comparison+of+modified+MMK+Operation+vs+Kelly%E2%80%99s+Plication+for+female+stress+incontinence&rft.creator=Chawla%2C+Chander&rft.creator=Hebbar%2C+Shripad&rft.subject=Calicut+Medical+Journal&rft.description=OBJECTIVES%3A+To+compare+the+results+of+modified+MMK+operation+with+vaginal+repair+in+female+stress+incontinence+and+to+study+the+prognostic+variables+that+determine+the+success.%0A%0AMATERIALS+AND+METHODS%3A+Urinary+stress+incontinence+was+treated+by+modified+MMK+operation+in+59+and+by+Kelly%E2%80%99s+vaginal+repair+in+42+women.+All+were+assessed+preoperatively+by+detailed+history%2C+clinical+examination.+No+sophisticated+urodynamic+studies+were+done.+Follow+up+was+done+initially+at+3+months%2C+then+at+6+and+12+months.++%0A%0ARESULTS%3A+Better+results+were+obtained+with+modified+MMK+operation+(88.1%25)+compared+to+vaginal+repair+(69%25).+Results+were+excellent+in+type+I+incontinence+and+in+the+absence+of+pelvic+floor+relaxation.+Hysterectomy+did+not+seem+to+improve+the+results.+Complication+rates+were+acceptable+with+modified+MMK+operation.%0A%0ACONCLUSION%3A+Though+laparoscopic+Burch+colposuspension+is+the+preferred+management+in+female+urinary+stress+incontinence%2C+this+modality+is+not+available+at+all+centers.+For+institutions+which+provide+basic+gynaecological+services%2C+we+recommend+modified+MMK+operation+as+a+primary+surgery+for+female+urinary+stress+incontinence+to+obtain+higher+cure+rates+and+to+minimize+the+incidence+of+recurrent+urinary+stress+incontinence+following+vaginal+repair.+%0A%0AKEY+WORDS%3A+++Stress+incontinence%2C+Kelly%E2%80%99s+repair%2C+modified+MMK+operation%0A&rft.date=2005-10&rft.type=Journal+(On-line%2FUnpaginated)&rft.type=NonPeerReviewed&rft.format=application%2Fpdf&rft.identifier=http%3A%2F%2Fcogprints.org%2F5131%2F1%2FComparison_of_modified_MMK_Operation_vs_Kelly%25E2%2580%2599s_Plication_for_female_stress_incontinence.pdf&rft.identifier=++Chawla%2C+Chander+and+Hebbar%2C+Shripad++(2005)+Comparison+of+modified+MMK+Operation+vs+Kelly%E2%80%99s+Plication+for+female+stress+incontinence.++%5BJournal+(On-line%2FUnpaginated)%5D++++(Unpublished)++&rft.relation=http%3A%2F%2Fcogprints.org%2F5131%2F