The use of the kelly plication for the prevention and treatment of genuine stress urinary incontinence in patients undergoing surgery for genital prolapse

From 1977 to 1983 at the 1st Clinic of Obstetrics and Gynecology of the University of Bologna, 264 patients affected by genital prolapse were studied. Of these, 104 who presented with stress urinary incontinence (SUI) underwent a vaginal hysterectomy with anterior vaginal repair and Kelly plication. Follow-up of these patients has demonstrated the effectiveness of this surgical procedure, with a success rate of 88.5% over 6–12 years. In a series of 160 patients without SUI who underwent preventive Kelly plication, urinary incontinence was prevented in 155 (96.9%). The results of this investigation confirm the effectiveness of the Kelly plication either for prevention or therapy of SUI in patients with genital prolapse.