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Modified Pereyra procedure under local anesthesia.

W A Growdon, T B Lebherz

Obstetrics and Gynecology

|August 1, 1986

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The modified Pereyra procedure effectively corrects stress urinary incontinence. This retropubic urethropexy can be safely performed under local anesthesia, demonstrating high patient tolerance and successful outcomes.

Area of Science:

Urology
Surgical Techniques

Background:

Anatomic stress urinary incontinence (SUI) affects many women.
Traditional surgical correction often requires general or regional anesthesia.
Contraindications to general/regional anesthesia limit treatment options for some patients.

Purpose of the Study:

To evaluate the safety and efficacy of the modified Pereyra procedure under local anesthesia.
To assess patient tolerance and outcomes for this specific surgical approach.

Main Methods:

The modified Pereyra procedure, a retropubic urethropexy, was performed.
The procedure was conducted under local anesthesia in selected patients.
Ten patients underwent the modified Pereyra procedure with local anesthesia.

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Main Results:

The procedure demonstrated a high success rate of 90% in correcting SUI.
Nine out of ten patients reported excellent tolerance to local anesthesia.
The average postoperative hospital stay was three days.
The average operative time was 45 minutes.

Conclusions:

The modified Pereyra procedure is a safe, rapid, and well-tolerated option for SUI correction.
Local anesthesia is a viable alternative when general or regional anesthesia is contraindicated.
This technique effectively restores the urethrovesical junction position in selected patients.