Comparison of the modified Pereyra procedure using permanent suture material and Burch urethropexy.
OBJECTIVE
To evaluate the results of the modified Pereyra procedure, using permanent suture, and Burch urethropexy.


METHODS
In 49 women undergoing modified Pereyra procedure and 48 women undergoing Burch urethropexy between January 1990 and January 1996 results were evaluated using questionnaire based outcomes analysis.


RESULTS
Follow up of all women undergoing needle suspension and Burch urethropexy showed that patient satisfaction was achieved in 86% and 81% respectively. Complete cure was achieved in 65% and 63% respectively.


CONCLUSIONS
Patient satisfaction in both procedures appeared not totally dependent on the presence or absence of complete cure. The study supports the hypothesis that the modified Pereyra needle suspension using permanent suture is well suited for the treatment of uncomplicated stress urinary incontinence, when compared to Burch urethropexy after a follow up of 1 to 6 years. The results support the impression that permanent suture should be used in the modified Pereyra procedure.
Department of Obstetrics and Gynaecology, Medical Centre Leeuwarden, The Netherlands.
V H
VH
Jongen
W K
WK
Brouwer
D000328:Adult; D000367:Age Factors; D000368:Aged; D001835:Body Weight; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000379:methods* / Q000523:psychology; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D013537:Sutures; D014521:Urethra / Q000601:surgery; D014550:Urinary Incontinence, Stress / Q000523:psychology / Q000601:surgery*