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Gynaecology & Obstetrics Urinary Fistulas 72947158

The disadvantage of Marshall Marchetti Krantz procedure compared with other surgical alternatives for treatment of stress urinary incontinence includes:

A
Urinary retention
B
Increased incidence of urinary tract infections
C
High failure rate
D
Osteitis pubis
High-Yield Explanation
Ans. is d, i.e. Osteitis pubisRef: Telinde 9th/ed, p1057-8; Textbook of Gynae, Sheila Balakrishnan 1st/ed, p329Marshall-Marchetti-Krantz (MMK) procedure, involves the attachment of the periurethral tissue to the symphysis pubuis.In approximately, 3% of patients undergoing the procedure, osteitis pubis develops.

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