The relation between parity and cure of stress incontinence after anterior colporraphy with Kelly suture

Background: When pelvic organs prolapse exist with anatomic hyper mobility of the
urethra, stress incontinence that is the most common cause of the incontinence in women. One
of the procedures used in treatment of the stress incontinence is anterior colporraphy with
Kelly suture. The aim of this study is to determine the rate of success of this method of surgery
in women with different parity.
Methods and materials: In this descriptive analysis study in 2000 2002 women were chosen
with stress incontinence in Ghods hospital and after anterior colporraphy with Kelly suture
the rate of cure of stress incontinence 6 months after operation was determined on them. The
women were divided in two groups for comparing the rate of success of operation; first group
consisted of 40 patients with parity between 1-3 and second group160 patients with 4 or above
4 parity.
Results: Rate of overall successful results after 6 months in patients (164 cases) was (83%).
Surgery in first group was successful in 38 cases (95%) and in second group 144 cases
(80%) immediately after surgery.
After 6 months 38 cases (95%) in first group and128 cases (80%) in second group were
treated. The difference between two groups is significantly confirmed with chi -square test
(P= 0.046).
Conclusions: The rate of success in our study in the patients below fourth parity was greater
than the rate of success reported by other studies; so anterior colporraphy with Kelly suture is
a good choice in low parity women.