Long Term Results of Anterior Colporrhaphy with Kelly Plication for the Treatment of Stress Urinary Incontinence
Yuthadej Thaweekul MD*, Suvit Bunyavejchevin MD, MHS*, Wirach Wisawasukmongchol MD*, Apirak Santingamkun MD**
Affiliation : * Department of Obstetric and Gynecology, Faculty of Medicine, Chulalongkorn University ** Department of Surgery, Faculty of Medicine, Chulalongkorn University
Objective : To study the five years’ outcome of anterior colporrhaphy with Kelly plication for the treatment of
stress urinary incontinence
Materials and Methods : Fifty two patients who underwent anterior colporrhaphy with Kelly plication with or
without posterior colpoperineorhapy 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 appoint-
ment 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.
Keywords : Stress incontinence, Kelly plication, Anterior colporrrhaphy
