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The modified Pereyra procedure: a clinical and urodynamic review
M M Karram1, O Angel, P Koonings
1Department of Obstetrics and Gynecology, Good Samaritan Hospital, Cincinnati, Ohio 45220.
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.