Long-term results of colposuspension

A series of 102 patients were treated by a technique of colposuspension similar to the Pereyra operation, in which a pair of monofilament sutures were tied over the rectus muscle; 79% of patients (78/99) reviewed 1 year after the operation were continent. During further follow-up (mean 4.5 years) there were 7 late failures, all within 4 years. Kaplan-Meier lifetable analysis showed 69% probability of continence at 5 years. The main factors associated with recurrent or persistent incontinence were detrusor instability (60% incontinent: 9/15) and previous failed colposuspension or multiple vaginal repairs (55% incontinent: 11/20). In the absence of these risk factors 90% of patients maintained continence throughout the follow-up period. This technique has given results at least equal to those reported for the Burch and Marshall-Marchetti-Krantz techniques of colposuspension.