The modified Pereyra procedure: a clinical and urodynamic review.
OBJECTIVE
To review the clinical and urodynamic outcome of treatment by the modified Pereyra procedure in 93 women with genuine stress incontinence.


METHODS
Retrospective review.


METHODS
Harbor/UCLA Medical Center and Los Angeles County Women's Hospital, Los Angeles, California, USA.


METHODS
Clinical and urodynamic assessment one year after modified Pereyra procedure.


RESULTS
Overall 82% of patients were subjectively cured while only 63% were objectively cured. Women with failed surgery had significantly lower pre-operative maximum urethral closure pressures. The procedure had a low operative and postoperative morbidity with no significant disturbance of voiding function noted at one year follow-up.


CONCLUSIONS
Our results with the modified Pereyra procedure for stress incontinence showed a significantly lower success rate than has been reported from many previous studies.
Karram
M M
MM
Department of Obstetrics and Gynecology, Good Samaritan Hospital, Cincinnati, Ohio 45220.
Angel
O
O
Koonings
P
P
Tabor
B
B
Bergman
A
A
Bhatia
N
N
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008875:Middle Aged; D011312:Pressure; D012189:Retrospective Studies; D016896:Treatment Outcome; D014521:Urethra / Q000503:physiopathology; D001743:Urinary Bladder / Q000503:physiopathology; D014550:Urinary Incontinence, Stress / Q000503:physiopathology* / Q000601:surgery; D014563:Urodynamics; D014572:Urology / Q000379:methods*