title: The modified Pereyra procedure: a clinical and urodynamic review.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, Good Samaritan Hospital, Cincinnati, Ohio 45220.
authors.forename: M M
authors.initials: MM
authors.lastname: Karram
authors.forename: O
authors.initials: O
authors.lastname: Angel
authors.forename: P
authors.initials: P
authors.lastname: Koonings
authors.forename: B
authors.initials: B
authors.lastname: Tabor
authors.forename: A
authors.initials: A
authors.lastname: Bergman
authors.forename: N
authors.initials: N
authors.lastname: Bhatia
mesh_terms: 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*