title: Modified Pereyra bladder neck suspension: 10-year mean followup using outcomes analysis in 125 patients.
abstract: OBJECTIVE
  We attempt to determine the long-term success rate of the modified Pereyra bladder neck suspension, identify preoperative factors predictive of long-term outcome, and investigate the influence of method and length of followup on reported continence status after modified Pereyra bladder neck suspension.
  
  
  METHODS
  The charts of 177 patients who underwent modified Pereyra bladder neck suspension at our institution more than 5 years ago were reviewed. An attempt was made to contact all patients either by mail or telephone to complete a patient survey questionnaire.
  
  
  RESULTS
  Of 177 patients 125 (71%) completed the patient survey with a mean followup of 9.8 years. At survey followup 20% of the patients reported no incontinence of any type and 51% reported stress urinary incontinence with or without urge incontinence. Of the patients 71% reported significant improvement in the incontinence and 73% were satisfied with the results of the procedure. No accurate preoperative predictors of long-term outcome were identified. The method and length of followup had significant impact on reported continence status after modified Pereyra bladder neck suspension.
  
  
  CONCLUSIONS
  This long-term study using outcomes analysis reveals a high rate of recurrent stress incontinence after modified Pereyra bladder neck suspension. However, most patients maintain significant subjective improvement and remain satisfied with the results of the operation.
authors.affiliation: Department of Urology, Kaiser Permanente Medical Center, Los Angeles, California, USA.
authors.forename: B A
authors.initials: BA
authors.lastname: Trockman
authors.forename: G E
authors.initials: GE
authors.lastname: Leach
authors.forename: J
authors.initials: J
authors.lastname: Hamilton
authors.forename: M
authors.initials: M
authors.lastname: Sakamoto
authors.forename: L
authors.initials: L
authors.lastname: Santiago
authors.forename: P E
authors.initials: PE
authors.lastname: Zimmern
mesh_terms: D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D012008:Recurrence; D012086:Reoperation; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000601:surgery*; D014549:Urinary Incontinence / Q000601:surgery*