MMK Marshall Marchetti Krantz Procedure; surgical technique to treat stress urinary incontinence скачать в хорошем качестве

MMK Marshall Marchetti Krantz Procedure; surgical technique to treat stress urinary incontinence

Marshall-Marchetti-Krantz (MMK) procedure is a surgical technique used to treat stress urinary incontinence (SUI) in women. This condition involves involuntary leakage of urine during activities that increase abdominal pressure, such as coughing, sneezing, or exercising. 🏥 What Is the MMK Procedure? Purpose: To restore normal bladder control by supporting the bladder neck and urethra. Approach: The surgeon attaches the periurethral tissues (around the urethra) to the back of the pubic bone using sutures. Goal: Elevate and stabilize the bladder neck to prevent urine leakage during physical stress. 🧬 How It Works Performed through an abdominal incision, often during other pelvic surgeries like hysterectomy. Sutures are placed in the anterior vaginal wall and anchored to the retropubic periosteum (the connective tissue over the pubic bone). This creates a supportive sling that keeps the urethra closed during increases in intra-abdominal pressure. ✅ Benefits Effective in reducing or eliminating stress incontinence. Can be performed alongside other pelvic surgeries. Long history of use with well-documented outcomes. ⚠️ Risks and Considerations Urinary retention: Difficulty emptying the bladder post-surgery. Infection: As with any surgical procedure. Bladder or urethral injury: Rare but possible. Dyspareunia: Pain during intercourse due to altered vaginal anatomy. 🔄 Alternatives Burch colposuspension: Similar technique but uses sutures placed in the Cooper’s ligament. Mid-urethral sling procedures: Less invasive, now more commonly used. Pelvic floor therapy: Non-surgical option for mild cases #urinaryincontinence