Transvaginal retropubic urethropexy. The "revised Pereyra procedure": report of 50 cases

Fifty patients with uterovaginal prolapse were treated by transvaginal retropubic urethropexy to correct the anatomic defect of their urethrovesical axis. Urodynamic studies were routine in the preoperative assessment. Forty patients had anatomic sphincteric incontinence. Forty-one (82% of the 50 patients treated were totally continent of urine after a follow-up of 12 to 36 months. The complications and results of this procedure are comparable to those of other abdominal retropubic procedures for urinary incontinence. The suggestion is made that, in the surgical management of symptomatic uterovaginal prolapse, this procedure, which can be easily performed in conjunction with any vaginal operation, may be an alternative to a combined vaginal and abdominal approach.