The Marshall-Marchetti-Krantz (MMK) procedure, also known as MMK colposuspension, is a surgical technique used to treat stress urinary incontinence in women. It involves lifting and supporting the urethra and bladder neck to restore continence.
How the MMK Procedure Works
The MMK procedure aims to correct urinary incontinence by:
- Supporting the Urethra: The procedure involves placing sutures (stitches) that lift the vaginal wall underneath the urethra. This provides crucial support.
- Stabilizing the Bladder Neck: The stitches also support the bladder neck (the area where the bladder connects to the urethra), preventing it from drooping or moving excessively during activities that increase abdominal pressure, such as coughing or sneezing.
Key Aspects of the MMK Procedure:
- Surgical Approach: The MMK procedure is typically performed through an open abdominal incision. However, it can sometimes be performed laparoscopically (using small incisions and a camera).
- Purpose: To provide support to the bladder neck and urethra to reduce or eliminate urinary leakage related to stress incontinence.
- Mechanism: By elevating and securing the vaginal wall, the procedure helps restore the normal anatomical position and function of the urethra and bladder neck.
In essence, the MMK procedure aims to restore the proper angle and support of the urethra and bladder neck, helping to prevent involuntary urine leakage during activities that put pressure on the bladder.
