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The modified Pereyra procedure: a clinical and urodynamic review
Author(s) -
KARRAM MICKEY M.,
ANGEL OSCAR,
KOONINGS PAUL,
TABOR BANNIE,
BERGMAN ARIEH,
BHATIA NARENDER
Publication year - 1992
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1992.tb13849.x
Subject(s) - medicine , stress incontinence , surgery , urinary incontinence
Objective To review the clinical and urodynamic outcome of treatment by the modified Pereyra procedure in 93 women with genuine stress incontinence. Design Retrospective review. Setting Harbor/UCLA Medical Center and Los Angeles County Women's Hospital, Los Angeles, California, USA. Main outcome measures 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.